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Matthew Prokey , PA-C

Physician Assistant โ€ข Fall River, MA

Active NPI 1356077721 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

4980 N Main St Apt 126
Fall River, MA 027202012

Call 2072516676 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4980 N Main St Apt 126

Fall River, MA 027202012

Telephone 2072516676
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Atrius Health Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Medicare patients

277 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $45,146 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $38,333 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

745 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$18,248 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Matthew Prokey has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Matthew Prokey as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fall River and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Fall River, MA (2024, 29 clinicians with data). Median for this group: 308. Middle half: 122 to 716.

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Fall River, MA (2024, 29 clinicians with data). Median for this group: $26,410. Middle half: $12,427 to $48,469.

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $19,073. Middle half: $6,686 to $39,911.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Fall River, MA (2024, 29 clinicians with data). Median for this group: $21,349. Middle half: $9,562 to $38,333.

A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $14,188. Middle half: $5,025 to $29,930.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Fall River, MA (2024, 35 clinicians with data). Median for this group: 234. Middle half: 121 to 957.

More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: 175. Middle half: 52 to 564.

Part D drug cost

A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Fall River, MA (2024, 35 clinicians with data). Median for this group: $7,097. Middle half: $747 to $92,454.

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: $2,484. Middle half: $458 to $50,541.

54 active clinicians are listed under Physician Assistant with a practice address in Fall River, MA (4,715 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fall River

14.8% of these 54 clinicians have the CMS telehealth indicator.

51.9% of these 54 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
164 143 $268.43 $77.98
36415 Insertion of needle into vein for collection of blood sample
107 92 $20.00 $8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
95 87 $347.73 $109.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
71 71 $363.00 $111.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
59 54 $31.00 $7.61
80048 Blood test, basic group of blood chemicals (calcium, total)
54 49 $34.00 $8.29
83036 Hemoglobin a1c level
45 41 $39.00 $9.52
87804 Detection test by immunoassay with direct visual observation for influenza virus
44 22 $49.00 $16.22
80061 Blood test, lipids (cholesterol and triglycerides)
42 41 $67.00 $13.12
87086 Bacterial colony count, urine
25 22 $33.00 $7.91
84443 Blood test, thyroid stimulating hormone (tsh)
24 22 $68.00 $16.46
80053 Blood test, comprehensive group of blood chemicals
22 22 $43.00 $10.35
82306 Vitamin d-3 level
21 20 $119.00 $29.01
87389 Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies
21 21 $99.00 $23.60
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)
21 21 $123.00 $45.42
82607 Cyanocobalamin (vitamin b-12) level
18 18 $61.00 $14.78
81002 Urinalysis, manual test
17 16 $10.00 $3.41
82565 Blood creatinine level
17 16 $21.00 $5.02
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
17 17 $106.00 $34.62
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
13 13 $652.00 $291.37
G0009 Administration of pneumococcal vaccine
13 13 $70.00 $32.81
86704 Hepatitis b core antibody measurement
12 12 $49.00 $11.81
86706 Hepatitis b surface antibody measurement
12 12 $43.00 $10.53
87077 Bacterial culture for aerobic isolates
12 11 $33.00 $7.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
12 11 $35.00 $8.48

(top 25 shown)

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 38 3,175 $611.64 19
Lisinopril Lisinopril 27 2,370 $165.82 16
Simvastatin Simvastatin 26 1,664 $229.97 โ€”
Levothyroxine Sodium Levothyroxine Sodium 24 1,980 $209.10 14
Pravastatin Sodium Pravastatin Sodium 24 1,040 $350.58 โ€”
Prednisone Prednisone 22 143 $34.25 20
Alprazolam Alprazolam 22 602 $166.44 โ€”
Rosuvastatin Calcium Rosuvastatin Calcium 22 1,620 $639.87 โ€”
Omeprazole Omeprazole 19 1,530 $463.63 โ€”
Albuterol Sulfate Hfa Albuterol Sulfate 17 561 $679.99 11
Amlodipine Besylate Amlodipine Besylate 16 1,440 $101.65 โ€”
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 14 82 $45.85 14
Hydrochlorothiazide Hydrochlorothiazide 13 1,170 $117.06 โ€”
Metoprolol Succinate Metoprolol Succinate 13 1,110 $171.66 โ€”
Cephalexin Cephalexin 12 80 $72.44 12
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 12 115 $54.66 11
Losartan Potassium Losartan Potassium 12 1,020 $82.90 โ€”
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 11 188 $103.68 โ€”
Jardiance Empagliflozin 11 750 $13,946.72 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-07-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20230111000952

Enrollment State Jurisdiction

MA

PECOS Control ID

9436529336

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Atrius Health Inc

21 Bristol Dr, South Easton, MA 023751199

Phone: 7743025700

Atrius Health Inc

291 Independence Dr, Chestnut Hill, MA 024673628

Phone: 6173252800

Atrius Health Inc

100 2nd Ave, Needham, MA 024942809

Phone: 7817264800

Atrius Health Inc

133 Brookline Ave, Boston, MA 022153904

Phone: 6174211000

Atrius Health Inc

36 Shops At 5 Way, Plymouth, MA 023602677

Phone: 7746083700

Atrius Health Inc

1250 Hancock St, Quincy, MA 021694339

Phone: 6177400600

Career & Practice History

NPI enumerated July 28, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from August 2022 to August 2026.

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NPI Administrative Meta

NPI Number: 1356077721
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2022
Last Update: July 28, 2022
Sole Proprietor: Yes

Other Physician Assistants in Fall River

All Physician Assistants in Fall River

Mailing Address

4980 N Main St Apt 126

Fall River, MA 027202012

Phone: 2072516676

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.