Augustine Prodjinotho
NPI 1770233355 · Family Nurse Practitioner · Yuma, AZ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Augustine Prodjinotho is a Family Nurse Practitioner provider in Yuma, AZ (NPI 1770233355).
Provider details
- NPI number
- 1770233355
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 259971 (AZ)
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
4 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
344 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 147 | $54 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 93 | $79 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 60 | $108 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 28 | $114 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 16 | $68 |
Typical Medicare-allowed amounts for these services range $54–$114 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 171 | 169 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 126 | 119 |
| Pantoprazole Sodium | 117 | 64 |
| Famotidine | 100 | 51 |
| Omeprazole | 86 | 39 |
| Cholestyramine (with Sugar)brand: Cholestyramine | 45 | 11 |
| Peg3350/Sod Sulf,bicarb,cl/Kcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$380 across 15 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
- 2022-03-25
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Frequently asked questions
- What is Augustine Prodjinotho's NPI number?
- Augustine Prodjinotho's National Provider Identifier (NPI) is 1770233355, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Augustine Prodjinotho's specialty?
- Augustine Prodjinotho is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Augustine Prodjinotho located?
- Augustine Prodjinotho's practice location on file with NPPES is 3910 S Brianna Dr, Yuma, AZ 85365-1403.
- What is Augustine Prodjinotho's phone number?
- The practice phone number listed in the NPPES registry for Augustine Prodjinotho is (928) 503-6643.
- Does Augustine Prodjinotho accept Medicare?
- Augustine Prodjinotho is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Augustine Prodjinotho's NPI active?
- Yes — Augustine Prodjinotho's NPI (1770233355) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.