Active NPI 1366465528 Individual Practitioner Male Practitioner

Dr. David Paul Prough , MD

Surgery • Jackson, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Prough, MD is a certified Surgery practicing in Jackson, MI. With approximately 40 years of clinical experience since graduating from Wayne State University School Of Medicine in 1986, Dr. Prough delivers high-quality medical care to the local community at 1100 E MICHIGAN AVE.

Dr. Prough is affiliated with W. A. Foote Memorial Hospital, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 E Michigan Ave
Suite 300

Jackson, MI 49201

Telephone 5177825857

Fax 5177843237

Associated Practice Facility / Clinic

🏢 Center For Hematology-Oncology Of S. Michigan Facility NPI 1396833687

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jackson, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +11.7 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

13 Specialists

Practicing in Jackson, MI (1479 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prough (40 Years) 40 Yrs

Jackson Specialty Average (28.3 Years) 28.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	83	$76.54	$62.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$95.91	$78.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$107.00	$92.80
49505 Repair of groin hernia (5 years or older)	13	13	$1895.38	$531.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	69	$75.17	$62.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$96.23	$78.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$45.90	$34.35
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$52.00	$46.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$111.88	$89.13
49505 Repair of groin hernia (5 years or older)	15	13	$1760.00	$511.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	43	$71.00	$65.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$109.98	$93.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$88.00	$82.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$145.00	$132.06
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$52.00	$48.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$39.00	$35.69
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1120.00	$316.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	54	$72.60	$66.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$88.00	$82.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$105.00	$98.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$147.89	$135.29
49505 Repair of groin hernia (5 years or older)	15	15	$1760.00	$509.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$64.69	$51.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$147.65	$130.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$30.00	$26.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$90.63	$79.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$250.00	$161.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$85.00	$76.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$165.00	$105.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	63	$105.00	$71.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$250.00	$160.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$165.00	$105.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	51	$160.00	$102.93
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1600.00	$726.50
49505 Repair of groin hernia (5 years or older)	11	11	$1000.00	$526.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$250.00	$148.97
99213 Established patient office or other outpatient visit, typically 15 minutes	90	65	$104.28	$67.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	62	$160.00	$99.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$165.00	$99.81
49505 Repair of groin hernia (5 years or older)	14	13	$1000.00	$504.50
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1600.00	$656.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	86	$105.00	$65.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$250.00	$144.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	61	$160.00	$94.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$165.00	$97.21
49505 Repair of groin hernia (5 years or older)	15	15	$1000.00	$482.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$900.00	$298.34
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1600.00	$664.43

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301407188

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

102754330 (MI)

Hospital & Practice Group Affiliations

W. A. Foote Memorial Hospital, Inc.

205 N E Ave, Jackson, MI 492011753

Phone: 5172054800

Practice Associates & Co-Workers

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

22 Associated Practitioners

Jason Sugden , NP

Nurse Practitioner - Acute Care

NPI 1093187353

Nurse Practitioner

Dr. Gary Farhat , MD

Obstetrics & Gynecology

NPI 1154398931

Doctor of Medicine (M.D.)

Dr. Donna O'neill , MD

Internal Medicine - Infectious Disease

NPI 1174534994

Doctor of Medicine (M.D.)

Rhonda Johns , RPH

Pharmacist

NPI 1225118110

Registered Pharmacist

Dr. David Eggert , MD

Surgery - Vascular Surgery

NPI 1245223874

Doctor of Medicine (M.D.)

Dr. John Axelson , MD

Internal Medicine - Hematology & Oncology

NPI 1255306429

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 June 09, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 09, 2008

Registered at 1100 E MICHIGAN AVE, SUITE 300, JACKSON, MI 49201 (Tel: 5177825857)

📍

Updated Business Mailing Address June 09, 2008

Registered at 1100 E MICHIGAN AVE, SUITE 300, JACKSON, MI 49201 (Tel: 5177825857)

👤

Provider Name / Credentials Updated June 09, 2008

Recorded as DAVID PROUGH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2008

Surgery (License #4301407188 in MI)

🟢

Initial NPI Registration & Enumeration July 26, 2006

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: 1366465528

Entity Type:

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

Enumeration Date: July 26, 2006

Last Update: June 09, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1100 E Michigan Ave, Suite 300

Jackson, MI 49201

Phone: 5177825857

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.