DR. JASON M PROSEK M.D.
NPI 1548451313
Internal Medicine - Nephrology in Columbus, OH

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
543 TAYLOR AVE, COLUMBUS, OH 43203(614) 293-4997(614) 293-3073 Get Directions Write a Review

NPPES record last updated: June 7, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Jason M Prosek M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON M PROSEK M.D. (NPI 1548451313) is an individual nephrology provider in Columbus, Ohio, licensed in Ohio (35096294) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and is a graduate of Ohio State University College Of Medicine (2007).

NPPES Registry Identity

NPI1548451313
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JASON M PROSEKCredential: M.D.
Location Address543 TAYLOR AVEColumbus, OH 43203-1278
Mailing Address700 Ackerman Rd, Suite 385Columbus, OH 43202-1559 · (614) 947-3700 · Fax (614) 947-3771
Fax(614) 293-3073
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2007
Enumeration DateAugust 7, 2007
Last NPPES UpdateJune 7, 2012
NPI 1548451313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in OH · 35096294
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
543 TAYLOR AVE, Columbus, OH 43203

Other Identifiers 2

MedicaidPENDINGOH
Medicare PINPENDINGOH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason M Prosek M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355506155
PECOS Enrollment IDI20120628000601
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
73 services46 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
64 services45 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
61 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services36 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
543 TAYLOR AVE
COLUMBUS, OH 43203
Nurse Practitioner (Family)
543 TAYLOR AVE
COLUMBUS, OH 43203
Internal Medicine (Nephrology)
543 TAYLOR AVE
COLUMBUS, OH 43203
Neurological Surgery
543 TAYLOR AVE
COLUMBUS, OH 43203
Family Medicine
543 TAYLOR AVE
COLUMBUS, OH 43203
Internal Medicine
543 TAYLOR AVE
COLUMBUS, OH 43203
General Acute Care Hospital
543 TAYLOR AVE
COLUMBUS, OH 43203
Orthopaedic Surgery
543 TAYLOR AVE, FIRST FLOOR
COLUMBUS, OH 43203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Prosek's NPI number?

The NPI number for Jason Prosek is 1548451313. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Jason Prosek located?

Jason Prosek practices at 543 Taylor Ave, Columbus, OH 43203. The listed phone number is (614) 293-4997.

What is Jason Prosek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jason Prosek enrolled in Medicare?

Yes. Jason Prosek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jason Prosek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Jason Prosek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jason Prosek affiliated with any hospitals?

According to CMS data, Jason Prosek is affiliated with Mercy Health-St Rita's Medical Center and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Jason Prosek was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.