Ronald H Prokopius, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD16554 Issued in ME

Practice address

57 Water Street
Blue Hill, ME 04614

Phone

(207) 374-3933

Fax

(207) 374-3985

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Northeastern Ohio University College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• York Hospital Hospital, York, ME, CCN 200020

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.71 of 100Reported as group

Quality

85.42

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398

  ME

  Medicare reassignment Care Compare group NPD
• Mainehealth

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1841397932

  ME

  Medicare reassignment NPD
• York Hospital

  • Home Health Agency
  • York, ME
  • NPI 1538144662
  Care Compare group
• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Internal Medicine Physician
  • Windham, ME
  • NPI 1023321593
  NPD
• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  NPD
• Geneva General Hospital, Inc

  • Emergency Medicine Physician
  • Geneva, NY
  • NPI 1487797080
  NPD
• Mainehealth

  • General Acute Care Hospital
  • Biddeford, ME
  • NPI 1659392819
  NPD (past)
• Mount Desert Island Hospital

  • Dental Clinic/Center
  • Southwest Harbor, ME
  • NPI 1235553413
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1295732097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WATER STREET",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "04614",
            "telephone_number": "207-374-3933",
            "fax_number": "207-374-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WATER STREET",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "04614",
            "telephone_number": "207-374-3933",
            "fax_number": "207-374-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKOPIUS",
        "first_name": "RONALD",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD16554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411910099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNT DESERT ISLAND HOSP MEDICARE PTAN",
            "identifier": "ME071901",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamas Robert Peredy, MD
• Michelle C Perkins, MD
• Nancy Marie Plouffe, LCSW
• Vicki Cohn Pollard, L.AC., M.AC., LMT
• Port Therapy
• Joanne Rauscher, PT
• Rehab 365 Inc
• Brandt Eric Rice, MD
• Rite Aid
• Rite Aid of Maine Inc

• All providers in Blue Hill, ME
• Hospitalist Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.