JOHN PRODAFIKAS M.D.
NPI 1831178813
Internal Medicine - Cardiovascular Disease in Canton, OH

Q: What is John Prodafikas's NPI number?

The NPI number for John Prodafikas is 1831178813. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Q: What is John Prodafikas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for John Prodafikas was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 January 10, 2006PECOS EnrolledAccepts Medicare Assignment

77.26/100

CMS Quality Rating

2600 6TH ST SW, SUITE A2-710, CANTON, OH 44710(330) 454-8076(330) 454-3927 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About John Prodafikas M.d. NPPES

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

JOHN PRODAFIKAS M.D. (NPI 1831178813) is an individual cardiovascular disease provider in Canton, Ohio, licensed in Ohio (35-08-2153) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Union Hospital, and is a graduate of Tufts University School Of Medicine (1993).

NPPES Registry Identity

NPI1831178813

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJOHN PRODAFIKASCredential: M.D.

Location Address2600 6TH ST SW, SUITE A2-710Canton, OH 44710-1702

Mailing Address2600 6th St Sw, Suite A2-710Canton, OH 44710-1702 · (330) 454-8076 · Fax (330) 454-3927

Phone(330) 454-8076

Fax(330) 454-3927

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 1993

Enumeration DateJanuary 10, 2006

Last NPPES UpdateApril 17, 2008

✔ NPI 1831178813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OH · 35-08-2153

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2600 6TH ST SW, Canton, OH 44710

Open in Google Maps ↗

Other Identifiers 3

Medicaid2388009OH

Medicare PINPR4100071OH

Medicare UPING98415OH

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

John Prodafikas 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 ID5294702999

PECOS Enrollment IDI20040913000876

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 John Prodafikas reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aultman Hospital

0.1 mi

General Acute Care Hospital

2600 6TH ST SW
Canton, OH 44710

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

NPI 1265458186 (330) 452-9911

Aultman Deuble Heart & Vascular Hospital, LLC

0.1 mi

Cardiovascular Disease

2600 SIXTH ST SW
Canton, OH 44710

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

NPI 1306495718 (330) 454-8076

Alliance Community Hospital

17 mi

Nurse Practitioner

200 E STATE ST
Alliance, OH 44601

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

NPI 1598285157 (330) 596-7610

Orrville Hospital Foundation

19 mi

Critical Access

832 S MAIN ST
Orrville, OH 44667

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

NPI 1891718375 (330) 684-4760

The Union Hospital Association

20 mi

Rural

659 BOULEVARD
Dover, OH 44622

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

NPI 1871606921 (330) 343-3311

Triad Health Services, LLC

42 mi

Plastic Surgery

100 DEBARTOLO PL STE 200
Youngstown, OH 44512

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

NPI 1588925457 (330) 965-4540

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 18

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

487 services379 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.

398 services277 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

242 services241 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.

107 services79 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.

98 services96 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

69 services68 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

69 services68 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.

69 services46 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

57 services57 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

47 services47 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

41 services37 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

38 services37 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.

33 services33 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.

15 services15 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

14 services14 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

14 services14 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

13 services13 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Union Hospital

Acute Care Hospitals · Dover, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360010

Location659 BoulevardDover, OH 44622 · Tuscarawas County

Emergency services Birthing friendly

Aultman Hospital

Acute Care Hospitals · Canton, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360084

Location2600 Sixth Street SWCanton, OH 44710 · Stark County

Emergency services Birthing friendly

Alliance Community Hospital

Acute Care Hospitals · Alliance, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360131

Location200 East State StreetAlliance, OH 44601 · Stark County

Emergency services

Salem Regional Medical Center

Acute Care Hospitals · Salem, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360185

Location1995 East State StreetSalem, OH 44460 · Columbiana County

Emergency services

Aultman Orrville Hospital

Critical Access Hospitals · Orrville, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361323

Location832 South Main StreetOrrville, OH 44667 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44710 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

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

77.26/100

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

Scored as part of a group practice

Quality

69.88

Promoting Interoperability

Improvement Activities

Cost

56.01

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.

DR. JANEL GRACEY M.D.

Student in an Organized Health Care Education/Training Program

2600 6TH ST SW, MEDICAL EDUCATION
CANTON, OH 44710

Stark County (330) 363-4899

ANNIE SHELTON RN

Registered Nurse

2600 6TH ST SW
CANTON, OH 44710

Stark County (330) 455-0374

STARK RADIATION ONCOLOGY INCORPORATED

Radiology (Radiation Oncology)

2600 6TH ST SW
CANTON, OH 44710

Stark County (330) 454-2210

DAVID ANDREW BEARD MD

Internal Medicine

2600 6TH ST SW
CANTON, OH 44710

Stark County (330) 363-2180

ADRIANE NICOLE SEDLOCK RN

Registered Nurse

2600 6TH ST SW
CANTON, OH 44710

Stark County (330) 363-0000

RAMANA PODUGU M.D.

Internal Medicine (Cardiovascular Disease)

2600 6TH ST SW, SUITE A2-710
CANTON, OH 44710

Stark County (330) 454-8076

MERITA KONSTANTACOS RN,MSN, CCNS

Clinical Nurse Specialist

2600 6TH ST SW
CANTON, OH 44710

Stark County (330) 363-1342

BENJAMIN CHARLES KIESLING MD

Student in an Organized Health Care Education/Training Program

2600 6TH ST SW
CANTON, OH 44710

Stark County (330) 705-6534

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 John Prodafikas's NPI number?

The NPI number for John Prodafikas is 1831178813. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is John Prodafikas located?

John Prodafikas practices at 2600 6th St SW Suite A2-710, Canton, OH 44710. The listed phone number is (330) 454-8076.

What is John Prodafikas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Prodafikas enrolled in Medicare?

Yes. John Prodafikas 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 John Prodafikas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Prodafikas reassigns Medicare benefits to 6 organizations: Aultman Hospital (Canton, OH), Aultman Deuble Heart & Vascular Hospital, LLC (Canton, OH), Alliance Community Hospital (Alliance, OH), Orrville Hospital Foundation (Orrville, OH), The Union Hospital Association (Dover, OH) and 1 more organization, listed in the Medicare section above. 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 John Prodafikas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Prodafikas 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 4 other insurers list John Prodafikas 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 John Prodafikas affiliated with any hospitals?

According to CMS data, John Prodafikas is affiliated with Union Hospital, Aultman Hospital, Alliance Community Hospital, Salem Regional Medical Center and Aultman Orrville Hospital.

When was this NPI record last updated?

The NPPES record for John Prodafikas was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.