Deactivated NPI 1205838166 Deactivated / Inactive NPI Male Practitioner

Dr. Craig P Prokos , MD

Internal Medicine • Jupiter, FL

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Craig Prokos has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2005

NPI Deactivation Date March 22, 2006

Total Practice Duration ~29 Years of Practice (1977 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Craig Prokos, MD was a registered Internal Medicine in Jupiter, FL. Prior to record deactivation on 2006-03-22, Dr. Prokos completed approximately 29 years of clinical practice following graduation from University Of North Carolina At Chapel Hill School Of Medicine in 1977.

Dr. Prokos maintained professional affiliations with Universal Health Corporation, Pai Participant 1 Llc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

136 Jupiter Lakes Blvd

Jupiter, FL 334587180

Telephone 5617463030

Fax 5617460771

Associated Practice Facility / Clinic

🏢 Craig P. Prokos, M.d. Facility NPI 1316345853

Medicare Profile & Education

Medical School

University Of North Carolina At Chapel Hill School Of Medicine

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jupiter, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +15.6 yrs vs City Avg

City Avg: 33.4 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

50 Specialists

Practicing in Jupiter, FL (10650 Statewide)

Telehealth Adoption Rate

28.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prokos (49 Years) 49 Yrs

Jupiter Specialty Average (33.4 Years) 33.4 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	541	321	$425.69	$129.52
99213 Established patient office or other outpatient visit, typically 15 minutes	392	242	$290.32	$90.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	256	256	$432.09	$130.71
G0444 Annual depression screening, 5 to 15 minutes	114	114	$57.00	$18.52
85610 Blood test, clotting time	88	14	$40.06	$4.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	16	$86.86	$14.35
81003 Automated urinalysis test	35	35	$67.91	$2.20
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$62.83	$14.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$173.96	$55.00

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	991	410	$472.13	$131.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	423	423	$480.00	$134.16
99213 Established patient office or other outpatient visit, typically 15 minutes	343	211	$320.95	$91.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	93	84	$630.00	$187.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	90	13	$16.00	$1.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	35	$104.00	$14.74
93000 Routine ekg using at least 12 leads including interpretation and report	71	66	$72.00	$15.00
J1885 Injection, ketorolac tromethamine, per 15 mg	51	11	$4.00	$0.54
J0696 Injection, ceftriaxone sodium, per 250 mg	47	15	$26.00	$0.49
G0008 Administration of influenza virus vaccine	40	40	$104.00	$30.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$734.00	$175.76
81003 Automated urinalysis test	25	17	$13.00	$2.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$192.00	$59.06
90662 Influenza vaccine split virus, preservative free	18	18	$37.00	$36.34
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	17	16	$123.00	$34.46
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	13	13	$213.00	$70.25
69210 Removal of impacted ear wax	13	12	$209.00	$46.84

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	1,209	459	$471.98	$135.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	422	422	$480.49	$138.05
99213 Established patient office or other outpatient visit, typically 15 minutes	351	213	$321.00	$95.56
85610 Blood test, clotting time	157	19	$21.00	$4.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	44	$104.00	$14.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	21	$316.00	$75.10
J0696 Injection, ceftriaxone sodium, per 250 mg	67	20	$26.00	$0.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	17	$16.00	$1.30
93000 Routine ekg using at least 12 leads including interpretation and report	64	59	$72.00	$15.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	48	$630.00	$190.05
81003 Automated urinalysis test	42	26	$13.00	$2.25
J1885 Injection, ketorolac tromethamine, per 15 mg	39	11	$4.00	$0.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	33	$897.00	$209.28
99239 Hospital discharge day management, more than 30 minutes	33	29	$469.00	$110.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$734.00	$177.35
G0008 Administration of influenza virus vaccine	32	31	$104.00	$17.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	13	$454.00	$107.79
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$686.00	$174.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$192.00	$58.56
90662 Influenza vaccine split virus, preservative free	16	16	$37.00	$37.00
90756 Vaccine for influenza for injection into muscle	16	16	$139.00	$28.33
69210 Removal of impacted ear wax	12	12	$217.71	$51.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$911.00	$234.37

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	959	404	$471.69	$113.38
99213 Established patient office or other outpatient visit, typically 15 minutes	715	342	$320.95	$77.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	383	383	$479.95	$119.67
85610 Blood test, clotting time	175	27	$21.00	$4.26
36415 Insertion of needle into vein for collection of blood sample	125	113	$31.00	$3.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	21	$316.00	$75.76
93000 Routine ekg using at least 12 leads including interpretation and report	67	64	$72.00	$17.89
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	53	15	$16.00	$1.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	21	$104.00	$14.65
90756 Vaccine for influenza for injection into muscle	40	40	$139.00	$27.50
G0008 Administration of influenza virus vaccine	40	40	$104.00	$17.31
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$327.00	$79.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	28	$630.00	$152.58
99239 Hospital discharge day management, more than 30 minutes	28	23	$469.00	$111.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	12	$454.00	$109.62
81003 Automated urinalysis test	25	21	$13.00	$2.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	21	$897.00	$213.63
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	20	18	$77.00	$14.90
20610 Aspiration and/or injection of fluid from large joint	13	11	$257.00	$67.15
69210 Removal of impacted ear wax	12	12	$209.00	$51.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,168	449	$320.86	$77.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,084	445	$471.86	$113.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	365	365	$480.00	$120.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	363	64	$315.45	$76.50
85610 Blood test, clotting time	354	45	$21.00	$4.28
90756 Vaccine for influenza for injection into muscle	92	92	$139.00	$25.92
G0008 Administration of influenza virus vaccine	88	88	$104.00	$17.00
93000 Routine ekg using at least 12 leads including interpretation and report	87	79	$72.00	$17.69
99239 Hospital discharge day management, more than 30 minutes	86	63	$468.70	$112.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	61	$896.35	$212.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	28	$453.60	$109.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	30	$103.11	$17.25
J1885 Injection, ketorolac tromethamine, per 15 mg	61	17	$4.00	$0.52
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$327.00	$79.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	33	$192.00	$46.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	23	$16.00	$1.57
99496 Transitional care management services for problem of high complexity	25	24	$952.00	$240.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$630.00	$152.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$734.00	$172.86
20610 Aspiration and/or injection of fluid from large joint	22	19	$257.00	$65.03
69210 Removal of impacted ear wax	22	21	$256.50	$48.72
99495 Transitional care management services for problem of at least moderate complexity	21	21	$672.00	$170.19
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	20	20	$82.00	$17.93
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$686.00	$171.93
81003 Automated urinalysis test	15	14	$13.00	$2.44
83036 Hemoglobin A1C level	12	12	$50.00	$10.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,181	485	$320.92	$75.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,000	430	$471.97	$111.15
85610 Blood test, clotting time	431	51	$21.00	$4.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	391	391	$480.00	$120.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	312	63	$314.37	$76.03
93000 Routine ekg using at least 12 leads including interpretation and report	109	99	$72.00	$17.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	71	$891.61	$212.20
90756 Vaccine for influenza for injection into muscle	90	88	$139.00	$22.33
G0008 Administration of influenza virus vaccine	86	84	$104.00	$20.91
99239 Hospital discharge day management, more than 30 minutes	79	55	$469.00	$111.87
99496 Transitional care management services for problem of high complexity	73	62	$952.00	$239.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	31	$98.07	$21.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	20	$454.00	$108.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	41	$192.00	$45.53
J1885 Injection, ketorolac tromethamine, per 15 mg	42	13	$4.00	$0.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$734.00	$172.10
99238 Hospital discharge day management, 30 minutes or less	29	28	$310.66	$76.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$630.00	$150.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	16	$16.00	$1.84
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$318.30	$78.22
20610 Aspiration and/or injection of fluid from large joint	18	15	$257.00	$64.78
99495 Transitional care management services for problem of at least moderate complexity	16	15	$672.00	$169.05
69210 Removal of impacted ear wax	16	13	$267.78	$51.45
J1030 Injection, methylprednisolone acetate, 40 mg	13	11	$9.00	$6.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,266	470	$286.45	$75.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	938	439	$427.30	$110.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	403	403	$430.87	$119.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	373	61	$274.42	$74.88
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	176	137	$124.83	$43.62
85610 Blood test, clotting time	175	40	$17.45	$5.28
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	99	97	$228.63	$65.10
G0008 Administration of influenza virus vaccine	91	90	$97.20	$25.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	87	35	$94.08	$26.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	59	$768.51	$211.31
99496 Transitional care management services for problem of high complexity	80	63	$862.16	$237.75
93000 Routine ekg using at least 12 leads including interpretation and report	79	72	$65.06	$17.72
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	63	27	$80.55	$20.75
99239 Hospital discharge day management, more than 30 minutes	60	48	$389.54	$111.33
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	51	51	$131.00	$17.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	19	$163.00	$41.01
99238 Hospital discharge day management, 30 minutes or less	41	34	$299.00	$75.04
Q2039 Influenza virus vaccine, not otherwise specified	40	40	$131.00	$22.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	36	$370.20	$150.83
J1885 Injection, ketorolac tromethamine, per 15 mg	35	17	$1.00	$0.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	31	$181.00	$45.07
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$632.56	$175.88
20610 Aspiration and/or injection of fluid from large joint	17	14	$231.36	$64.54
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$91.00	$89.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	16	13	$15.00	$1.81
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$308.00	$77.54
G0009 Administration of pneumococcal vaccine	15	15	$98.00	$25.99
17000 Destruction of skin growth	13	11	$248.00	$69.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$445.00	$81.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$692.00	$170.85
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$647.00	$170.85

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME32958

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Pai Participant 1 Llc

1945 Roanoke Blvd, Salem, VA 241536408

Phone: 5403453894

Universal Health Corporation

200 Weaver Ave, Emporia, VA 238471230

Phone: 5408145344

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Kathryn Smith , DO

Family Medicine

NPI 1790160380

Doctor of Osteopathic Medicine (D.O.)

Cynthia Prokos

Nurse Practitioner - Family

NPI 1790338663

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location April 08, 2015

Registered at 136 JUPITER LAKES BLVD, JUPITER, FL 334587180 (Tel: 5617463030)

📍

Updated Business Mailing Address April 08, 2015

Registered at 136 JUPITER LAKES BLVD, JUPITER, FL 334587180 (Tel: 5617463030)

👤

Provider Name / Credentials Updated April 08, 2015

Recorded as CRAIG PROKOS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2015

Internal Medicine (License #ME32958 in FL)

🔄

NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

⚠️

NPI Profile Deactivated March 22, 2006

Record deactivated on March 22, 2006

🟢

Initial NPI Registration & Enumeration August 11, 2005

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: 1205838166

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 11, 2005

Last Update: April 08, 2015

Deactivation Date: March 22, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

136 Jupiter Lakes Blvd

Jupiter, FL 334587180

Phone: 5617463030

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.