BRIAN GERARD PROKOSCH MD
NPI 1831152388
Family Medicine in Saint Paul, MN

Q: What is Brian Prokosch's NPI number?

The NPI number for Brian Prokosch is 1831152388. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Q: What is Brian Prokosch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Prokosch was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

333 SMITH AVE N, SUITE 4314A, SAINT PAUL, MN 55102(651) 241-8436(651) 241-2793 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brian Gerard Prokosch Md NPPES

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

BRIAN GERARD PROKOSCH MD (NPI 1831152388) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (31739) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of University Of Minnesota Medical School (1987).

NPPES Registry Identity

NPI1831152388

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRIAN GERARD PROKOSCHCredential: MD

Location Address333 SMITH AVE N, SUITE 4314ASaint Paul, MN 55102-2344

Mailing AddressPo Box 43, Mr 10809Minneapolis, MN 55440-0043 · (612) 262-4813 · Fax (612) 262-4194

Phone(651) 241-8436

Fax(651) 241-2793

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1987

Enumeration DateApril 7, 2006

Last NPPES UpdateMarch 11, 2021

NPPES CertifiedMarch 11, 2021

✔ NPI 1831152388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 31739

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

333 SMITH AVE N, Saint Paul, MN 55102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Brian Gerard Prokosch 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 ID840186672

PECOS Enrollment IDI20041028000438

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 4

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 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.

156 services73 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.

106 services55 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.

52 services52 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240038

Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

83.53/100

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

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

ROBERT A LAMPPA CRNA

Nurse Anesthetist, Certified Registered

333 SMITH AVE N
ST PAUL, MN 55102

Ramsey County (651) 735-0501

DALE H MCHUGH CRNA

Nurse Anesthetist, Certified Registered