Stephen Prohaska, PA
NPI 1356895197 · Physician Assistant · Morganton, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Prohaska, PA is a Physician Assistant provider in Morganton, NC (NPI 1356895197).
Provider details
- NPI number
- 1356895197
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 0010-06715 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
430 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 161 | $13 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 134 | $145 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 81 | $103 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 24 | $12 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 16 | $135 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 358 | 126 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 266 | 75 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 205 | 62 |
| Montelukast Sodium | 155 | 59 |
| Prednisone | 132 | 67 |
| Azithromycin | 129 | 64 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,412 across 93 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2019-04-12
Frequently asked questions
- What is Stephen Prohaska's NPI number?
- Stephen Prohaska's National Provider Identifier (NPI) is 1356895197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Prohaska's specialty?
- Stephen Prohaska is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stephen Prohaska located?
- Stephen Prohaska's practice location on file with NPPES is 2209 S Sterling St Ste 600, Morganton, NC 28655-4092.
- What is Stephen Prohaska's phone number?
- The practice phone number listed in the NPPES registry for Stephen Prohaska is (828) 580-4577.
- Does Stephen Prohaska accept Medicare?
- Stephen Prohaska is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Prohaska's NPI active?
- Yes — Stephen Prohaska's NPI (1356895197) is active in the NPPES registry as of the last update on 2019-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.