2026 NPPES data Internal Medicine Physician NPI 1205838166 M.D.
Verify on CMS →

Craig Prokos, M.D.

Internal Medicine Physician in Jupiter, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 174,792 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 322 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
75/100
CMS neutral threshold · no category scores published

What the federal data shows

Craig Prokos, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 1,003 Medicare Part D claims in 2024.

75/100
CMS neutral score · not measured
1K
Part D claims, 2024
Likely
board-certified (heuristic)
≥75th
pct by Part D claim volume (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Craig Prokos, M.D.

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1205838166), first enumerated 08/11/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,003 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not Craig Prokos, M.D.'s individual license status. Verify directly with the state medical board.

    Source: FLDOH annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Prokos with other Internal Medicine Physician providers

Same primary specialty, same federal CMS NPPES roster.

All 62 Internal Medicine Physician providers in Jupiter, FL →

Also enrolled in Florida

Other specialties in Jupiter: Physical Therapist (102) · Family Nurse Practitioner (98) · Behavior Technician (94) · Pharmacist (84)

CMS NPPES provider registry desk

NPI 1205838166 · Internal Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-NEUTRAL · RX-MID · BOOK-MID · PHOTO-ENUM

  • NPI-10 1205838166
  • ENUM-LEGACY 2005
  • TAX-MEGA 175K Internal Medicine
  • MIPS-NEUTRAL 75/100
  • RX-MID 1,003
  • BOOK-MID 11,290 in Florida
  • PHOTO-ENUM Joseph Dagenbach, M.D. · 2005

Craig Prokos, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

1,003 ≥ 75th percentile 75% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). Below this entry. 200–400: 188,835 prescribers (13%). Below this entry. 400–600: 95,866 prescribers (7%). Below this entry. 600–800: 60,107 prescribers (4%). Below this entry. 800–1,000: 43,043 prescribers (3%). Below this entry. 1,000–1,200: 33,612 prescribers (2%). This entry sits in this band. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

✓
Board certification likely (heuristic, not verified)

Craig Prokos, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Craig Prokos, M.D.?

CMS neutral score, not measured

NPI registry status

Active

Issued 08/11/2005

NPI 1205838166

Primary specialty

Internal Medicine Physician

High-volume

174,792 US NPIs in this specialty

Medicare Part D claims

1,003 64% vs specialty avg

2024 prescription claims

Specialty avg: 2,785

MIPS final score

75/100

CMS neutral score, not measured

No category scores published; CMS assigned the performance threshold

Specialty distribution in Florida

How Internal Medicine Physician compares to other specialties among Florida providers

Florida providers
Behavior Technician16.3%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.1%Student in an Organized Heal…4.1%Physical Therapist3%Internal Medicine Physician2.4%
Largest specialties in Florida (% of in-state providers)

MIPS score not measured

CMS assigned a neutral 75/100 threshold

CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.

How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

136 JUPITER LAKES BLVD
Jupiter, FL 33458

Provider Details

NPI 1205838166
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 08/11/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
CMS neutral threshold · not measured

Reporting: Group practice

Hospital and facility affiliations

Facilities where Craig Prokos, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Pai Participant 1 LLC
Salem, VA
Universal Health Corporation
Emporia, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Florida FLDOH 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to Craig Prokos, M.D.. To verify Craig Prokos, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

1,003
Total Claims
$57K
Total Drug Cost
322
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,517.7
Total Day Supply
74,651
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
76.4 years
Avg HCC Risk Score
1.11
Gender Split
48% female / 52% male
Age Distribution
<65: 15, 65-74: 120, 75-84: 135, 85+: 52

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Craig Prokos, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Atorvastatin Calcium
65
Rosuvastatin Calcium
62
Levothyroxine Sodium
57
Amlodipine Besylate
51
Metoprolol Succinate
40
Losartan Potassium
34
Omeprazole
29
Tamsulosin Hcl
27
Lisinopril
24
Pantoprazole Sodium
24

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How Craig Prokos, M.D. fits within the Internal Medicine Physician landscape nationally.

174,792
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,785
Avg Claims per Provider

Craig Prokos, M.D.'s 1,003 claims are below the specialty average of 2,785.

Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Prokos, both outside Florida so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (75 here).

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Internal Medicine Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Prokos.

One of 11,290 Internal Medicine Physician providers enrolled in Florida, 11 are shown on this page.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Craig Prokos, M.D.'s specialty? ▼
Craig Prokos, M.D. specializes in Internal Medicine Physician and practices in Jupiter, Florida. Credentials: M.D..
How much does Craig Prokos, M.D. prescribe under Medicare Part D? ▼
In 2024, Craig Prokos, M.D. wrote 1,003 Medicare Part D claims totaling $57K in drug costs for 322 beneficiaries.
What is Craig Prokos, M.D.'s Medicare quality score? ▼
Craig Prokos, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Craig Prokos, M.D. located? ▼
Craig Prokos, M.D. is located at 136 JUPITER LAKES BLVD, Jupiter, FL, 33458. Phone: (561) 746-3030.
What is Craig Prokos, M.D.'s NPI number? ▼
Craig Prokos, M.D.'s National Provider Identifier (NPI) is 1205838166, issued on 08/11/2005.
How many Internal Medicine Physician providers are there in the US? ▼
There are 174,792 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,785 Medicare Part D claims per year.
What drugs does Craig Prokos, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Craig Prokos, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Rosuvastatin Calcium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Craig Prokos, M.D. accept Medicare? ▼
Craig Prokos, M.D. appears in CMS Medicare data with 1,003 Part D claims and 322 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Craig Prokos, M.D.'s credentials? ▼
Craig Prokos, M.D.'s NPI is 1205838166 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.