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DR. CAROLINE C PROCHNAU MD
NPI 1942287354
Internal Medicine in Asheboro, NC

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
306 N COX ST, ASHEBORO, NC 27203(336) 633-3073(336) 633-3074 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Caroline C Prochnau Md NPPES

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

DR. CAROLINE C PROCHNAU MD (NPI 1942287354) is an individual internal medicine provider in Asheboro, North Carolina, licensed in North Carolina (200001522) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Randolph Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1998).

NPPES Registry Identity

NPI1942287354
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CAROLINE C PROCHNAUCredential: MD
Location Address306 N COX STAsheboro, NC 27203-5528
Mailing AddressPo Box 4937Asheboro, NC 27204-4937 · (336) 633-3073 · Fax (336) 633-3074
Phone(336) 633-3073
Fax(336) 633-3074
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1998
Enumeration DateDecember 28, 2005
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1942287354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 200001522
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

306 N COX ST, Asheboro, NC 27203
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Other Identifiers 3

Medicare PIN2286305A
Medicare UPINH36526NC
Medicaid89128Y1NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Dr. Caroline C Prochnau 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 ID8123154978
PECOS Enrollment IDI20100331000310
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 12

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, 30-39 minutes 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.
199 services110 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
148 services18 patients
Annual depression screening, 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
73 services73 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
70 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
67 services67 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
61 services47 patients

Hospital Affiliations CMS Care Compare

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

Randolph Hospital

Acute Care Hospitals · Asheboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340123
Location364 White Oak StreetAsheboro, NC 27204 · Randolph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27203 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers32 claims75 services$6.30 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$38.67 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers12 claims12 services$13.23 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers21 claims94 services$1.60 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims17 services$28.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers14 claims14 services$38.10 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

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

MERIDIAN INTERNAL MEDICINE, P.A.
Internal Medicine
306 N COX ST
ASHEBORO, NC 27203
Randolph County (336) 633-3073

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 Caroline Prochnau's NPI number?

The NPI number for Caroline Prochnau is 1942287354. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Caroline Prochnau located?

Caroline Prochnau practices at 306 N Cox St, Asheboro, NC 27203. The listed phone number is (336) 633-3073.

What is Caroline Prochnau's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Caroline Prochnau enrolled in Medicare?

Yes. Caroline Prochnau 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 Caroline Prochnau accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Caroline Prochnau 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 Caroline Prochnau affiliated with any hospitals?

According to CMS data, Caroline Prochnau is affiliated with Randolph Hospital.

When was this NPI record last updated?

The NPPES record for Caroline Prochnau was last updated on January 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.