CRAIG P PROKOS (M.D.) – Internal Medicine Physician, NPI 1205838166
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
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Provider Addresses for CRAIG P PROKOS (M.D.)
136, Jupiter Lakes Boulevard, Jupiter, Palm Beach County, Florida, 33458, United States
JUPITER, FL 334587180
Phone: (561) 746-3030
Fax: (561) 746-0771
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101129000178 | I | Internal Medicine | FL | TBD |
| I20250805003103 | I | Internal Medicine | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 541 | 321 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 392 | 242 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 256 | 256 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 114 | 114 | $0 |
| 85610 | Blood test, clotting time | 88 | 14 | $0 |
Insurance plans in this area (ZIP 33458)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| - | NC | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | VA | |
| Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| - | VA |
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