JACK PROTHERO PA-C
NPI 1851279962
Physician Assistant - Surgical in Monroeville, PA
About Jack Prothero Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK PROTHERO PA-C (NPI 1851279962) is an individual surgical provider in Monroeville, Pennsylvania, licensed in Pennsylvania (MA067306) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with Forbes Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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
Jack Prothero Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Forbes Hospital
Acute Care Hospitals · Monroeville, PAOther Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONROEVILLE, PA 15146
MONROEVILLE, PA 15146
MONROEVILLE, PA 15146
MONROEVILLE, PA 15146
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 Jack Prothero's NPI number?
The NPI number for Jack Prothero is 1851279962. It was assigned to this individual provider in the NPPES registry on August 26, 2025.
Where is Jack Prothero located?
Jack Prothero practices at 2566 Haymaker Rd Ste 304, Monroeville, PA 15146. The listed phone number is (412) 858-3070.
What is Jack Prothero's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jack Prothero enrolled in Medicare?
Yes. Jack Prothero 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 Jack Prothero affiliated with any hospitals?
According to CMS data, Jack Prothero is affiliated with Forbes Hospital.
When was this NPI record last updated?
The NPPES record for Jack Prothero was last updated on December 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.