DR. DAVID PAUL PROUGH (MD) – Surgery Physician, NPI 1366465528

DR. DAVID PAUL PROUGH (MD) is a healthcare provider. based in Jackson, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301407188 (MI). The NPI Number for DR. DAVID PAUL PROUGH (MD) is 1366465528

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID PAUL PROUGH (MD)
NPI
1366465528
Phone
(517) 782-5857
Address
1100 E MICHIGAN AVE
Enumeration Date
26 July 2006
Last Update Date
9 June 2008

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5172054800
Graduation Year
1986 (40 years ago)
PAC ID
3577458595
Group Practice PAC ID
0244136067
Professional Enrollment ID
I20040218000880
Address ID
MI492011753JA205XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

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Provider Addresses for DR. DAVID PAUL PROUGH (MD)

  • 1100, Michigan Avenue, Jackson Heights, Muscle Shoals, Colbert County, Alabama, 35661, United States

    SUITE 300

    JACKSON, MI 49201

    Phone: (517) 782-5857

    Fax: (517) 784-3237

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-03-05 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($34).

Total Amount

$54

General + Research + Ownership

Payments

2

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-02-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040218000880IGeneral SurgeryMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9369$0
99203New patient office or other outpatient visit, 30-44 minutes7878$0
99212Established patient office or other outpatient visit, 10-19 minutes3129$0
99202New patient office or other outpatient visit, 15-29 minutes1717$0
99214Established patient office or other outpatient visit, 30-39 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244136067View full group profile

Reviews

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Frequently asked questions

How is DR. DAVID PAUL PROUGH (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. DAVID PAUL PROUGH (MD) with NPI 1366465528.
Is DR. DAVID PAUL PROUGH (MD) listed as active for patients and plans?
The listing shows DR. DAVID PAUL PROUGH (MD) as active in the NPI system.
What healthcare role does DR. DAVID PAUL PROUGH (MD) hold?
Scheduling teams often label DR. DAVID PAUL PROUGH (MD) under Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does DR. DAVID PAUL PROUGH (MD) serve?
DR. DAVID PAUL PROUGH (MD)'s listing highlights Jackson, Michigan; more addresses can appear in NPPES.
Why does DR. DAVID PAUL PROUGH (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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