DR. MICHAEL PROCHASKA M.D.
NPI 1609249101
Pathology - Anatomic Pathology & Clinical Pathology in Salt Lake City, UT

Q: What is Michael Prochaska's NPI number?

The NPI number for Michael Prochaska is 1609249101. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Q: What is Michael Prochaska's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Michael Prochaska was last updated on May 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 05, 2015PECOS EnrolledAccepts Medicare Assignment

89.21/100

CMS Quality Rating

2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112(801) 587-4357 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Michael Prochaska M.d. NPPES

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

DR. MICHAEL PROCHASKA M.D. (NPI 1609249101) is an individual anatomic pathology & clinical pathology provider in Salt Lake City, Utah, licensed in Utah (9404572-1205) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2011).

NPPES Registry Identity

NPI1609249101

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. MICHAEL PROCHASKACredential: M.D.

Location Address2000 CIRCLE OF HOPE DRSalt Lake City, UT 84112-5550

Mailing Address2000 Circle Of Hope DrSalt Lake City, UT 84112-5550 · (801) 587-4357

Phone(801) 587-4357

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2011

Enumeration DateNovember 5, 2015

Last NPPES UpdateMay 6, 2016

✔ NPI 1609249101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in UT · 9404572-1205

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

2000 CIRCLE OF HOPE DR, Salt Lake City, UT 84112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc..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. Michael Prochaska 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 ID8426352485

PECOS Enrollment IDI20210201001582

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 22

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,561 services695 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

462 services186 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

115 services45 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

114 services44 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

95 services42 patients

Cell examination of specimen, selective cellular enhancement technique 88112

94 services76 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

67 services58 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

64 services41 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

59 services19 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

58 services31 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

53 services11 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

51 services12 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

38 services16 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

36 services19 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

33 services31 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

29 services28 patients

Special stained specimen slides to examine tissue, initial procedure 88342

26 services15 patients

Evaluation of fine needle aspirate with interpretation and report 88173

24 services18 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

20 services20 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

16 services14 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

16 services11 patients

Pathology cytologic examination of specimen during surgery, initial site 88333

A pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

Lmh

Acute Care Hospitals · Lawrence, KS

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number170137

Location325 Maine StreetLawrence, KS 66044 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

89.21/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.43

Improvement Activities

Leave this field empty

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.

MELANIE HUNTER PHARMD

Pharmacist

2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112

Salt Lake County (801) 842-8755

KELLY LYNN KONOPA MD

Internal Medicine (Hematology & Oncology)

2000 CIRCLE OF HOPE DR, SUITE 2100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 585-0255

DR. HELOISA PRADO SOARES M.D.

Internal Medicine (Hematology & Oncology)

2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112

Salt Lake County (801) 646-4016

BENJAMIN WONG DPT

Physical Therapist

2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112

Salt Lake County (801) 585-0303

ANNA JUNE SAVEY

Speech-Language Pathologist

2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112

Salt Lake County (801) 587-7000

EVELYN ON KEI TSUI P.A-C

Physician Assistant

2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112

Salt Lake County (801) 585-3229

MS. WENDY KAREN KOHLMANN MS

Genetic Counselor, MS

2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112

Salt Lake County (801) 587-5556

DR. CHRISTINE LOUISE CROSSNO PHARM.D., BCOP

Pharmacist (Oncology)

2000 CIRCLE OF HOPE DR, HUNTSMAN CANCER INSTITUTE, DEPT OF PHARMACY
SALT LAKE CITY, UT 84112

Salt Lake County (801) 587-4029

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 Michael Prochaska's NPI number?

The NPI number for Michael Prochaska is 1609249101. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Michael Prochaska located?

Michael Prochaska practices at 2000 Circle Of Hope Dr, Salt Lake City, UT 84112. The listed phone number is (801) 587-4357.

What is Michael Prochaska's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Michael Prochaska enrolled in Medicare?

Yes. Michael Prochaska 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 Michael Prochaska accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Michael Prochaska 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 Michael Prochaska affiliated with any hospitals?

According to CMS data, Michael Prochaska is affiliated with University Of Kansas Hospital and Lmh.

When was this NPI record last updated?

The NPPES record for Michael Prochaska was last updated on May 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.