DR. JENNIFER MANKO PROHOW (D.O.) – Family Medicine Physician, NPI 1750418059
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for DR. JENNIFER MANKO PROHOW (D.O.)
3099 BROOKSIDE DR
WATERFORD, MI 483282595
Phone: (248) 681-5890
Type: Mailing
1455 S LAPEER RD
SUITE 100
LAKE ORION, MI 483601467
Phone: (248) 693-3551
Fax: (248) 693-4643
Type: Location
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 $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Tempus AI, Inc ($21).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tempus AI, Inc | $21 |
| ABBVIE INC. | $16 |
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: 2008-08-21
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 |
|---|---|---|---|---|
| I20080821000541 | I | Family Practice | MI | 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 | 166 | 109 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 65 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 40 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 45 | 45 | $0 |
| G0008 | Administration of influenza virus vaccine | 29 | 29 | $0 |
Insurance plans in this area (ZIP 48328)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI | |
| - | MI | |
| General Practice | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Family Practice | MI |
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