MICHAEL PROKOPIUS MD, MBA
NPI 1922032309
Ophthalmology in West Chester, OH

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
7675 WELLNESS WAY, WEST CHESTER, OH 45069(513) 475-8152(513) 475-8149 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Michael Prokopius Md, Mba NPPES

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

MICHAEL PROKOPIUS MD, MBA (NPI 1922032309) is an individual ophthalmology provider in West Chester, Ohio, licensed in Ohio (35063758) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1922032309
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL PROKOPIUSCredential: MD, MBA
Location Address7675 WELLNESS WAYWest Chester, OH 45069-2509
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 475-8152 · Fax (513) 475-8149
Fax(513) 475-8149
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1991
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 16, 2018
NPI 1922032309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 35063758
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
7675 WELLNESS WAY, West Chester, OH 45069

Secondary Practice Location 1

Location 12500 Metrohealth Dr, MHMC-Surgery/OpthalmologyCleveland, OH 44109-1900 · Phone (216) 778-4253

Other Identifiers 1

Medicaid0217367OH

Accepted 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

Michael Prokopius Md, Mba 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 ID6406996271
PECOS Enrollment IDI20091229000694
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 2

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.
14 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45069 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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Social Worker (Clinical)
7675 WELLNESS WAY
WEST CHESTER, OH 45069
Nurse Practitioner (Adult Health)
7675 WELLNESS WAY
WEST CHESTER, OH 45069
Obstetrics & Gynecology
7675 WELLNESS WAY
WEST CHESTER, OH 45069
Obstetrics & Gynecology (Gynecology)
7675 WELLNESS WAY, 4TH FLOOR
WEST CHESTER, OH 45069
Obstetrics & Gynecology
7675 WELLNESS WAY, SUITE 400
WEST CHESTER, OH 45069
Registered Nurse
7675 WELLNESS WAY, SUITE 309
WEST CHESTER, OH 45069
Massage Therapist
7675 WELLNESS WAY
WEST CHESTER, OH 45069
Internal Medicine
7675 WELLNESS WAY
WEST CHESTER, OH 45069

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 Michael Prokopius's NPI number?

The NPI number for Michael Prokopius is 1922032309. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Michael Prokopius located?

Michael Prokopius practices at 7675 Wellness Way, West Chester, OH 45069. The listed phone number is (513) 475-8152.

What is Michael Prokopius's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Prokopius enrolled in Medicare?

Yes. Michael Prokopius 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.

What insurance does Michael Prokopius accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Michael Prokopius 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 Michael Prokopius affiliated with any hospitals?

According to CMS data, Michael Prokopius is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Michael Prokopius was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.