ALAN LEROY PROK (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1255380630
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
749 PATHOLOGY in OH
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Provider Addresses for ALAN LEROY PROK (MD)
Miami Valley Hospital, 1, Wyoming Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States
DAYTON, OH 454092722
Phone:
Type: Mailing
4619, Kenny Road, Fox & Hounds, Olentangy, Columbus, Sharon, Franklin, Ohio, 43220, United States
COLUMBUS, OH 432202779
Phone: (614) 457-8180
Type: Location
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.
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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: 2006-06-06
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 |
|---|---|---|---|---|
| I20060606000000 | I | Pathology | OH | 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 |
|---|---|---|---|---|
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 1,592 | 194 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 715 | 405 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 477 | 274 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 146 | 102 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 124 | 73 | $0 |
Insurance plans in this area (ZIP 45409)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | OH | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 45 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| - | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| - | OH | |
| P A T H O L O G Y | OH |
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