MR. DENNIS PROK (PA- C) – Physician Assistant, NPI 1255846382
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 PHYSICIAN ASSISTANT in MD
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Provider Addresses for MR. DENNIS PROK (PA- C)
103, Key Parkway, Willowcrest Gardens, Frederick, Frederick County, Maryland, 21702, United States
FREDERICK, MD 217024496
Phone: (240) 629-3939
Fax: (240) 629-3940
Type: Location
48TH MDG/ RAF LAKENHEATH
UNIT 5115
APO, AE 094615115
Phone: (314) 226-8268
Type: Mailing
980 Highway 28 Ste 101
Jasper, TN 373473696
Phone: (423) 648-8480
Fax: (423) 648-8481
Type: Location
48th MDG/ RAF Lakenheath
UNIT 5115
APO, AE 094615115
Phone: (314) 226-8268
Type: Location
202, Key Parkway, Woodlawn Village, Frederick, Frederick County, Maryland, 21702, United States
FREDERICK, MD 217024551
Phone: (240) 629-3982
Fax: (240) 629-3983
Type: Mailing
2000 STEIN DR
CHATTANOOGA, TN 374211690
Phone: (423) 648-8480
Fax: (423) 648-8481
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 126 Open Payments records for all available years, with a total value of $2,459.
Total Amount is formed as General ($2,459) + Research ($0) + Ownership ($0) = $2,459.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($833).
Total Amount
$2,459
General + Research + Ownership
Payments
126
Total payment records
General Amount
$2,459
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HARMONY BIOSCIENCES LLC | $833 |
| Axsome Therapeutics, Inc. | $636 |
| JAZZ PHARMACEUTICALS INC. | $322 |
| Inspire Medical Systems, Inc. | $168 |
| Merck Sharp & Dohme LLC | $104 |
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: 2021-05-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20210524001498 | I | Physician Assistant | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 21702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Pain Management | OH | |
| Pain Management, Anesthesiology | AL | |
| A N E S T H E S I O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
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