ANDREW MICHAEL PROSOSKI (M.D.) – Family Medicine Physician, NPI 1154703353

ANDREW MICHAEL PROSOSKI (M.D.) is a healthcare provider. based in Kearney, Nebraska. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 7504 (NE). The NPI Number for ANDREW MICHAEL PROSOSKI (M.D.) is 1154703353

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW MICHAEL PROSOSKI (M.D.)
NPI
1154703353
Phone
(308) 865-2808
Address
816 22ND AVE
Enumeration Date
24 June 2015
Last Update Date
15 May 2018

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
3088652263
Graduation Year
2015 (11 years ago)
PAC ID
2961719703
Group Practice PAC ID
5991195547
Professional Enrollment ID
I20170404000231
Address ID
NE688452226KE816XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

238 EMERGENCY MEDICINE in NE

Provider Addresses for ANDREW MICHAEL PROSOSKI (M.D.)

  • 816 22ND AVE

    SUITE 100

    KEARNEY, NE 688452206

    Phone: (308) 865-2808

    Fax: (308) 455-3970

    Type: Mailing

  • 2403 WEST 47 STREET PLACE

    KEARNEY, NE 68845

    Phone: (308) 233-2102

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-04-27 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Heron Therapeutics, Inc.$18
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: 2017-04-04

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
I20170404000231IEmergency MedicineNETBD

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
99284Emergency department visit with moderate level of medical decision making188177$0
99285Emergency department visit with high level of medical decision making131124$0
99283Emergency department visit with low level of medical decision making8780$0
99291Critical care, first 30-74 minutes7070$0
View full utilization report →

Insurance plans in this area (ZIP 68845)

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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: 5991195547View full group profile
NameSpecialtyState
Nurse PractitionerNE
Interventional CardiologyMD
Nurse PractitionerNE
Thoracic SurgeryWA
Family Practice, Obstetrics/GynecologyNE
Nurse PractitionerNE
General SurgeryNE
Nurse PractitionerNE
Internal MedicineNE
Internal MedicineNE

Reviews

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Frequently asked questions

Can I use this page to confirm ANDREW MICHAEL PROSOSKI (M.D.)'s NPI?
Yes. ANDREW MICHAEL PROSOSKI (M.D.) is listed with NPI 1154703353 in the public NPI dataset.
Can I rely on ANDREW MICHAEL PROSOSKI (M.D.) being an active provider?
As of the registry snapshot, ANDREW MICHAEL PROSOSKI (M.D.) is marked active.
What is ANDREW MICHAEL PROSOSKI (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for ANDREW MICHAEL PROSOSKI (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is ANDREW MICHAEL PROSOSKI (M.D.) based?
ANDREW MICHAEL PROSOSKI (M.D.) is tied to Kearney, Nebraska in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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