Active NPI 1336134840 Individual Practitioner Male Practitioner

Dr. Edward Richard Prostko , MD

Neurological Surgery • Washington, PA

Professional Overview & Biography Verified Profile Summary

Dr. Edward Prostko, MD is a registered healthcare professional specializing in Neurological Surgery in Washington, PA. Practice services are available at 380 W CHESTNUT ST STE 101 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

380 W Chestnut St Ste 101

Washington, PA 153014658

Telephone 7242281414

Fax 7242288579

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Washington, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Washington, PA (482 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

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	47	37	$370.00	$126.46
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$261.00	$90.28

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	81	63	$294.00	$103.18
99213 Established patient office or other outpatient visit, typically 15 minutes	60	45	$201.00	$70.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$447.00	$154.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$377.00	$138.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$395.00	$136.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	88	$179.00	$71.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	83	$264.00	$104.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$405.00	$158.23
63048 Partial removal of spine bone with release of spinal cord and/or nerves	40	14	$3200.00	$157.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	33	$357.00	$133.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$265.00	$105.85
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$4425.00	$548.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$341.00	$135.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	73	$177.24	$69.26
63048 Partial removal of spine bone with release of spinal cord and/or nerves	37	16	$3200.00	$187.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$262.59	$102.50
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	21	$50.93	$20.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$405.00	$153.02
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$4425.00	$758.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$352.33	$141.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$256.54	$104.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$107.00	$42.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	65	$164.00	$65.86
63048 Partial removal of spine bone with release of spinal cord and/or nerves	32	12	$3200.00	$177.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$243.00	$100.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$99.00	$41.77
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$46.00	$19.24

Medical Specialties & State Licenses

CMS Verified: 2020-10-01

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License PA MD024694E

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000888021 (PA)

Commercial Insurance / Payer ID Caqh

10934442

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Donald Whiting , MD

Neurological Surgery

NPI 1194710608

Doctor of Medicine (M.D.)

Edward Powell , PA-C

Physician Assistant

NPI 1225010697

Physician Assistant (Certified)

Dr. Nestor Tomycz , MD

Neurological Surgery

NPI 1316140338

Doctor of Medicine (M.D.)

Anthony Bonetto , PA-C

Physician Assistant

NPI 1467706309

Physician Assistant (Certified)

Michael Mccarthy , PA-C

Physician Assistant

NPI 1497780530

Physician Assistant (Certified)

Nicole Kovach , PA-C

Physician Assistant

NPI 1629200142

Physician Assistant (Certified)

Career & Practice History Timeline

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

14 Historical Events

✅

NPI Profile Active June 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2017

Registered at 380 W CHESTNUT ST STE 101, WASHINGTON, PA 153014658 (Tel: 7242281414)

📍

Updated Business Mailing Address June 13, 2017

Registered at 380 W CHESTNUT ST STE 101, WASHINGTON, PA 153014658 (Tel: 7242281414)

👤

Provider Name / Credentials Updated June 13, 2017

Recorded as EDWARD PROSTKO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2017

Neurological Surgery (License #MD024694E in PA)

📍

Updated Practice Location January 17, 2017

Registered at 380 W CHESTNUT ST STE 101, WASHINGTON, PA 153014658 (Tel: 7242281414)

📍

Updated Business Mailing Address January 17, 2017

Registered at 380 W CHESTNUT ST STE 101, WASHINGTON, PA 153014658 (Tel: 7242281414)

👤

Provider Name / Credentials Updated January 17, 2017

Recorded as EDWARD PROSTKO, MD

✅

NPI Profile Active April 30, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 30, 2008

Registered at 380 W CHESTNUT ST, SUITE 101, WASHINGTON, PA 153014657 (Tel: 7242281414)

📍

Updated Business Mailing Address April 30, 2008

Registered at 380 W CHESTNUT ST, SUITE 101, WASHINGTON, PA 153014657 (Tel: 7242281414)

👤

Provider Name / Credentials Updated April 30, 2008

Recorded as EDWARD PROSTKO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2008

Neurological Surgery (License #MD024694E in PA)

🟢

Initial NPI Registration & Enumeration September 12, 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: 1336134840

Entity Type:

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

Enumeration Date: September 12, 2005

Last Update: October 01, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

380 W Chestnut St Ste 101

Washington, PA 153014658

Phone: 7242281414

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.