DR. JESSICA A. PROKUP M.D.
NPI 1770044653
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Columbus, OH

Q: What is Jessica Prokup's NPI number?

The NPI number for Jessica Prokup is 1770044653. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Jessica Prokup's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Prokup was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment

95.31/100

CMS Quality Rating

2050 KENNY RD STE 3300, COLUMBUS, OH 43221(614) 366-9211(614) 366-2210 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2026, Jan 27, 2026, Jul 20, 2023 and 2 more (5 updates tracked since 2020).

On this page

About Dr. Jessica A. Prokup M.d. NPPES

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

DR. JESSICA A. PROKUP M.D. (NPI 1770044653) is an individual pediatric rehabilitation medicine provider in Columbus, Ohio, licensed in Ohio (35147383) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770044653

Entity TypeIndividualFemale

Primary Taxonomy2081P0010X

Provider Legal NameDR. JESSICA A. PROKUPCredential: M.D.

Location Address2050 KENNY RD STE 3300Columbus, OH 43221-3502

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 366-9211 · Fax (614) 366-2210

Phone(614) 366-9211

Fax(614) 366-2210

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2019

Enumeration DateMarch 25, 2019

Last NPPES UpdateJune 23, 20265 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1770044653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0010X

License✔ Licensed in OH · 35147383

Definition

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License 35147383 (OH)

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 35.147383 (OH)

2050 KENNY RD STE 3300, Columbus, OH 43221

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Secondary Practice Locations 2

Location 12050 Kenny Rd Fl 2Columbus, OH 43221-3502 · Phone (614) 293-5123 · Fax (614) 293-4890

Location 2700 Childrens DrColumbus, OH 43205-2639 · Phone (614) 722-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jessica A. Prokup 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 ID3971836438

PECOS Enrollment IDI20230705002042

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.

Medicare Billing Reassignments

Medicare enrollment records show Jessica Prokup reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osu Physical Medicine And Rehabilitation, LLC

0.9 mi

Physical Medicine & Rehabilitation

480 MEDICAL CENTER DR, 1018 DODD HALL
Columbus, OH 43210

Reassigned Medicare billing, Ohio enrollment
42 clinicians in this Medicare group

NPI 1003029455 (614) 293-4734

Osu General Internal Medicine LLC

1.9 mi

Internal Medicine

1800 ZOLLINGER RD
Columbus, OH 43221

Reassigned Medicare billing, Ohio enrollment
303 clinicians in this Medicare group

NPI 1689919599 (614) 293-5123

Nationwide Children's Hospital

4.4 mi

Multi-Specialty

700 CHILDRENS DR
Columbus, OH 43205

Reassigned Medicare billing, Ohio enrollment
976 clinicians in this Medicare group

NPI 1851179873 (614) 722-2055

Pediatric Academic Association, Inc.

4.4 mi

Pediatrics

700 CHILDRENS DR
Columbus, OH 43205

Reassigned Medicare billing, Ohio enrollment
1,246 clinicians in this Medicare group

NPI 1063419943 (614) 722-4579

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

5,900 services13 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.

71 services44 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

51 services31 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.

42 services23 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

42 services21 patients

Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity 64643

This procedure involves injecting a special chemical into 1-4 muscles in an arm or leg to temporarily paralyze them. This can help manage pain or muscle disorders. If needed, the process can be repeated on an additional limb.

29 services11 patients

Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874

This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.

28 services16 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

22 services18 patients

Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity 64642

This procedure involves injecting a chemical into specific muscles in your arm or leg, causing temporary paralysis. It targets 1-4 muscles in the first extremity. It's often used to manage conditions that cause muscle spasms or overactivity.

19 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services12 patients

Hospital Affiliations CMS Care Compare 2

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

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

Nationwide Children's Hospital

Childrens · Columbus, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number363305

Location700 Children's DriveColumbus, OH 43205 · Franklin County

Emergency services

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

Quality

76.58

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier11 claims11 services$9.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$57.71 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$26.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

DR. WILLIAM S PEASE M.D.

Physical Medicine & Rehabilitation

2050 KENNY RD STE 3300
COLUMBUS, OH 43221

Franklin County (614) 366-9216

MICHELLE LYNN EASLEY APRN-CNP

Nurse Practitioner (Adult Health)

2050 KENNY RD STE 3300
COLUMBUS, OH 43221

Franklin County (614) 293-5123

MICHAEL D GUTHRIE MD

Physical Medicine & Rehabilitation

2050 KENNY RD STE 3300
COLUMBUS, OH 43221

Franklin County (614) 366-9211

WALTER J MYSIW MD

Physical Medicine & Rehabilitation

2050 KENNY RD STE 3300
COLUMBUS, OH 43221

Franklin County (614) 366-9211

DR. BREANNA RAQUEL BENJAMIN DO

Physical Medicine & Rehabilitation

2050 KENNY RD STE 3300
COLUMBUS, OH 43221

Franklin County (614) 366-9211

MICHAEL J DEVANY LSW, LICDC

Counselor (Addiction (Substance Use Disorder))

2050 KENNY RD STE 3300, MOREHOUSE PAVILION
COLUMBUS, OH 43221

Franklin County (614) 685-6527

MR. HOWARD A. PASKETT PA-C

Physician Assistant (Surgical)

2050 KENNY RD STE 3300
COLUMBUS, OH 43221

Franklin County (614) 293-2874

LYDIA CELINE SANDMAN APRN-CNP

Nurse Practitioner

2050 KENNY RD STE 3300
COLUMBUS, OH 43221

Franklin County (614) 366-9211

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 Jessica Prokup's NPI number?

The NPI number for Jessica Prokup is 1770044653. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Jessica Prokup located?

Jessica Prokup practices at 2050 Kenny Rd Ste 3300, Columbus, OH 43221. The listed phone number is (614) 366-9211.

What is Jessica Prokup's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Jessica Prokup enrolled in Medicare?

Yes. Jessica Prokup 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.

Which organizations bill Medicare for Jessica Prokup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Prokup reassigns Medicare benefits to 4 organizations: Osu Physical Medicine And Rehabilitation, LLC (Columbus, OH), Osu General Internal Medicine LLC (Columbus, OH), Nationwide Children's Hospital (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Prokup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Prokup accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Jessica Prokup 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 Jessica Prokup affiliated with any hospitals?

According to CMS data, Jessica Prokup is affiliated with Ohio State University State Health System and Nationwide Children's Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Prokup was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.