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Active NPI 1629733415 Individual Practitioner Male Practitioner

Ben Prom

Physician Assistant • Juneau, AK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ben Prom is a certified Physician Assistant practicing in Juneau, AK. With approximately 5 years of clinical experience since completing medical education in 2021, Ben Prom delivers high-quality medical care to the local community at 8505 OLD DAIRY RD.

Ben Prom is affiliated with Divine Savior Healthcare Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, emergency department visit with moderate level of medical decision making, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8505 Old Dairy Rd

Juneau, AK 998016921

Telephone 9077904111
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Juneau, AK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.3 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Juneau, AK (551 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prom (5 Years) 5 Yrs
Juneau Specialty Average (9.3 Years) 9.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
22 19 $387.27 $133.94
99213 Established patient office or other outpatient visit, typically 15 minutes
21 19 $272.23 $97.51
99284 Emergency department visit with moderate level of medical decision making
13 13 $1564.63 $138.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $334.60 $120.02
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
11 11 $116.18 $59.97

Medical Specialties & State Licenses

CMS Verified: 2021-11-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Divine Savior Healthcare Inc

2817 New Pinery Rd, Portage, WI 539019240

Phone: 6087424131

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Norvin Perez , MD

Non-Pharmacy Dispensing Site

NPI 1346235819

Doctor of Medicine (M.D.)

Kelly Griffin , APRN FNP-C

Nurse Practitioner - Family

NPI 1437541091

APRNFNPC

Dr. Robert Haight , MD

Family Medicine

NPI 1669571477

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2021

Registered at 8505 OLD DAIRY RD, JUNEAU, AK 998016921 (Tel: 9077904111)

📍
Updated Business Mailing Address November 05, 2021

Registered at 8505 OLD DAIRY RD, JUNEAU, AK 998016921 (Tel: 9077904111)

👤
Provider Name / Credentials Updated November 05, 2021

Recorded as BEN PROM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration November 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629733415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2021
Last Update: November 05, 2021
Sole Proprietor: No

Mailing Address

8505 Old Dairy Rd

Juneau, AK 998016921

Phone: 9077904111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.