DARJA PRAPROTNIK MD
NPI 1720052608
Pathology - Anatomic Pathology & Clinical Pathology in Findlay, OH

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
80/100
CMS Quality Rating
145 W WALLACE ST, FINDLAY, OH 45840(419) 423-5554(419) 423-5125 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Darja Praprotnik Md NPPES

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

DARJA PRAPROTNIK MD (NPI 1720052608) is an individual anatomic pathology & clinical pathology provider in Findlay, Ohio, licensed in Ohio (35081198) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Blanchard Valley Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1720052608
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDARJA PRAPROTNIKCredential: MD
Location Address145 W WALLACE STFindlay, OH 45840-1239
Mailing AddressPo Box 1066, 501 N Main StFindlay, OH 45839 · (419) 422-4058 · Fax (419) 424-0553
Fax(419) 423-5125
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJune 16, 2010
NPI 1720052608 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 OH · 35081198
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.
145 W WALLACE ST, Findlay, OH 45840

Other Identifiers 4

Medicaid2333228OH
Other341390623520OH · Anthem
Medicare UPINH64444
Medicare ID-Type UnspecifiedPR4086581OH

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

Darja Praprotnik Md 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 ID1557411907
PECOS Enrollment IDI20110215000023
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 21

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.
1,529 services617 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.
661 services142 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.
320 services244 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
228 services140 patients
Immunologic analysis technique on serum (immunofixation) 86334
Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
167 services84 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.
161 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361322
Location139 Garau StreetBluffton, OH 45817 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45840 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.

80/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Anesthesiology
145 W WALLACE ST
FINDLAY, OH 45840
Dietitian, Registered
145 W WALLACE ST
FINDLAY, OH 45840
Nurse Anesthetist, Certified Registered
145 W WALLACE ST
FINDLAY, OH 45840
Nurse Anesthetist, Certified Registered
145 W WALLACE ST
FINDLAY, OH 45840
Pharmacist
145 W WALLACE ST
FINDLAY, OH 45840
Nurse Anesthetist, Certified Registered
145 W WALLACE ST
FINDLAY, OH 45840
Pharmacist
145 W WALLACE ST
FINDLAY, OH 45840
Pharmacist
145 W WALLACE ST
FINDLAY, OH 45840

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 Darja Praprotnik's NPI number?

The NPI number for Darja Praprotnik is 1720052608. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Darja Praprotnik located?

Darja Praprotnik practices at 145 W Wallace St, Findlay, OH 45840. The listed phone number is (419) 423-5554.

What is Darja Praprotnik's specialty?

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

Is Darja Praprotnik enrolled in Medicare?

Yes. Darja Praprotnik 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.

Is Darja Praprotnik affiliated with any hospitals?

According to CMS data, Darja Praprotnik is affiliated with Blanchard Valley Hospital and Bluffton Hospital.

When was this NPI record last updated?

The NPPES record for Darja Praprotnik was last updated on June 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.