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ANDREA PROKOP MD
NPI 1760910558
Internal Medicine in Portland, OR

Active since May 24, 2017PECOS EnrolledAccepts Medicare Assignment
1200 NW 23RD AVENUE, LEGACY CLINIC GOOD SAMARITAN, PORTLAND, OR 97210(503) 413-7074(503) 413-6393 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 7, 2021, Aug 16, 2019, May 24, 2017 (3 updates tracked since 2017).

About Andrea Prokop Md NPPES

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

ANDREA PROKOP MD (NPI 1760910558) is an individual internal medicine provider in Portland, Oregon, licensed in Washington (MD61055460) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760910558
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANDREA PROKOPCredential: MD
Location Address1200 NW 23RD AVENUE, LEGACY CLINIC GOOD SAMARITANPortland, OR 97210
Mailing Address1200 Nw 23rd Avenue, Legacy Clinic Good SamaritanPortland, OR 97210 · (503) 413-7074 · Fax (503) 413-6892
Phone(503) 413-7074
Fax(503) 413-6393
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 24, 2017
Last NPPES UpdateSeptember 7, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
✔ NPI 1760910558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD61055460
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1200 NW 23RD AVENUE, Portland, OR 97210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Andrea Prokop 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 ID7012260888
PECOS Enrollment IDI20200903003432
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 3

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.

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.
159 services88 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
60 services60 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.
46 services31 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES

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

DR. VINCENT CHEN M.D.
Internal Medicine
1200 NW 23RD AVENUE, LEGACY CLINIC GOOD SAMARITAN
PORTLAND, OR 97210
Multnomah County (503) 413-7074

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 Andrea Prokop's NPI number?

The NPI number for Andrea Prokop is 1760910558. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Where is Andrea Prokop located?

Andrea Prokop practices at 1200 NW 23rd Avenue Legacy Clinic Good Samaritan, Portland, OR 97210. The listed phone number is (503) 413-7074.

What is Andrea Prokop's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrea Prokop enrolled in Medicare?

Yes. Andrea Prokop 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 Andrea Prokop accept?

Health plans from Providence Health Plan list Andrea Prokop 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 Andrea Prokop affiliated with any hospitals?

According to CMS data, Andrea Prokop is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Prokop was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.