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DR. CECILIA MARIE PROPHIT M.D.
NPI 1871532705
Otolaryngology in Kalamazoo, MI

Active since June 06, 2006PECOS Enrolled
84.88/100
CMS Quality Rating
601 JOHN ST, SUITE M273, KALAMAZOO, MI 49007(269) 381-0180(269) 381-7347 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2020, Dec 12, 2018 (2 updates tracked since 2018).

About Dr. Cecilia Marie Prophit M.d. NPPES

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

DR. CECILIA MARIE PROPHIT M.D. (NPI 1871532705) is an individual otolaryngology provider in Kalamazoo, Michigan, licensed in Michigan (4301059008) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871532705
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. CECILIA MARIE PROPHITCredential: M.D.
Location Address601 JOHN ST, SUITE M273Kalamazoo, MI 49007-5341
Mailing Address601 John St, Suite M273Kalamazoo, MI 49007-5341 · (269) 381-0180 · Fax (269) 381-7347
Phone(269) 381-0180
Fax(269) 381-7347
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1871532705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MI · 4301059008
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
601 JOHN ST, Kalamazoo, MI 49007
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Other Names 1

Former Name (1)Dr. Cecilia Marie Prophit M.d.

Other Identifiers 5

Other155429Great Lakes Hlth Pln
Medicaid3011204-10MI
Other5020219Aetna Pin
Other3403902650MI · Bcbs Ind Pin
Other040C910710MI · Bcbs Grp Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cecilia Marie Prophit M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.
231 services152 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
58 services58 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
35 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Referred Medical Equipment & Supplies CMS DME claims 2

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

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
3 suppliers15 claims900 services$0.82 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers14 claims14 services$26.04 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 20

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

DR. AMANDA KEATING WALKER D.O.
Obstetrics & Gynecology
601 JOHN ST, SUITE N1200
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7979
ANDREW W. WALKER MD
Emergency Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (847) 404-6853
JUSTINE MELODIE OUDSEMA PA-C
Physician Assistant
601 JOHN ST, BOX 74
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-8481
OCHUKO ANDREW OGHOR CRNA
Nurse Anesthetist, Certified Registered
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (239) 341-7654
MARK J TIESZEN MD
Internal Medicine (Critical Care Medicine)
601 JOHN ST, SUITE M-510
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7762
DR. ERIC S SHAY M.D.
Internal Medicine
601 JOHN ST, SUITE M-170
KALAMAZOO, MI 49007
Kalamazoo County (269) 381-5060
EVGENIIA MORLEY RD
Dietitian, Registered
601 JOHN ST
KALAMAROO, MI 49007
Kalamazoo County (269) 341-6615
SELECT HOSPITALISTS, PLLC
Internal Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7100

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 Cecilia Prophit's NPI number?

The NPI number for Cecilia Prophit is 1871532705. It was assigned to this individual provider in the NPPES registry on June 6, 2006. The provider is also known as Dr. Cecilia Marie Prophit M.D..

Where is Cecilia Prophit located?

Cecilia Prophit practices at 601 John St Suite M273, Kalamazoo, MI 49007. The listed phone number is (269) 381-0180.

What is Cecilia Prophit's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Cecilia Prophit enrolled in Medicare?

Yes. Cecilia Prophit is registered in the Medicare PECOS enrollment system.

What insurance does Cecilia Prophit accept?

Health plans from Priority Health list Cecilia Prophit 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.

When was this NPI record last updated?

The NPPES record for Cecilia Prophit was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.