NPPES file of Aug 9, 2026

Jack Prothero, PA-C

Surgical Physician Assistant · Monroeville, PA

Jack Prothero, PA-C is a surgical physician assistant with a practice address in Monroeville, Pennsylvania, and NPI 1851279962, issued on Aug 26, 2025. Check the license (Pennsylvania MA067306, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1851279962
Name
Jack Prothero
Credential
PA-C
Primary taxonomy
Surgical Physician Assistant 363AS0400X
License number
MA067306 PA
Self-reported in NPPES; status is on the state search
Practice location
2566 Haymaker RD Ste 304, Monroeville, PA 15146
Phone
(412) 858-3070
Enumerated
Aug 26, 2025
Record last updated
Dec 16, 2025
Medicare enrollment
Enrolled (PECOS I20251230000699); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2566 Haymaker RD Ste 304

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Amanda Chipman, MDSurgical Critical Care Physician1972965135
  2. Reece Dehaan, M.D.Colon & Rectal Surgery Physician1649702333
  3. Joseph Demeo, PA-CSurgical Physician Assistant1710701040
  4. Jill Eberle, CRNPFamily Nurse Practitioner1992797831
  5. Elan Jeremitsky, MDSurgical Critical Care Physician1821050113
  6. Nya Johnson, PA-CSurgical Physician Assistant1225854003

Verify Jack Prothero in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
    Search for license MA067306
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Allegheny ClinicMonroeville, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jack Prothero among 832 surgical physician assistant records in Pennsylvania

Jack Prothero, PA-C is one of 832 surgical physician assistant records with a practice address in Pennsylvania. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 95% of them.

  • NPI issued2025 · 95% of these records are older, 2% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2025 · median 2013 among the 541 with a school on file
  • Record last updated2025 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

30 surgical physician assistant records list a practice address in Monroeville

They are 30 of the 1,646 NPPES records with a practice address in Monroeville, and 832 surgical physician assistant records in Pennsylvania.

The 8 surgical physician assistant records with the nearest ZIP codes

  1. Bethany Bell, PA-CMonroeville, PA 151461598093445
  2. Claire BuxterMonroeville, PA 151461740315787
  3. Nicole Curran, PA-CMonroeville, PA 151461124548516
  4. Brittany Herman, PA-CMonroeville, PA 151461841620671
  5. Tessa Kracinovsky, PA-CMonroeville, PA 151461912392002
  6. Grace Link, PA-CMonroeville, PA 151461629416011
  7. Jacob Matter, PA-CMonroeville, PA 151461427577683
  8. Carly McNutt, PA-CMonroeville, PA 151461811274616

Common questions

What is Jack Prothero, PA-C's NPI number?

Jack Prothero, PA-C's National Provider Identifier (NPI) is 1851279962, issued on Aug 26, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Jack Prothero, PA-C located?

The NPPES record lists a practice address at 2566 Haymaker RD Ste 304, Monroeville, PA, 15146. Phone: (412) 858-3070. Providers update this record themselves, so call before visiting.

How can I verify Jack Prothero, PA-C's license?

NPPES lists Pennsylvania license number MA067306, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.