DR. JEFFERY ALLEN PROSSER M.D. NPI 1023154515

NPI Information

  • NPI: 1023154515
  • Provider Name: DR. JEFFERY ALLEN PROSSER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 905 E MARTIN LUTHER KING JR DR STE 390
    TARPON SPRINGS, FL
    ZIP 34689
  • Phone: (727) 940-7664

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NPI Details

DR. Jeffery Allen Prosser, M.D. is a family medicine in Tarpon Springs, FL with 39 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jeffery Allen Prosser, M.D. NPI is 1023154515. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1987

The provider's business location address is:

905 E MARTIN LUTHER KING JR DR STE 390
TARPON SPRINGS, FL
ZIP 34689-828
Phone: (727) 940-7664
Fax: (727) 940-7710

The NPI 1023154515 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, calcium gluconate, per 10 ml (HCPCS:J0610)
  • Injection, magnesium sulfate, per 500 mg (HCPCS:J3475)
  • Injection, pyridoxine hcl, 100 mg (HCPCS:J3415)
  • Injection of drug or substance into vein (HCPCS:96374)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Extended patient service without direct patient contact, first hour (HCPCS:99358)

The enumeration date for this NPI number is 1/30/2007 and was last updated on 6/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME81606FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100614755MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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