Michael G. Prucha, MD
Emergency Medicine Physician · Providence, RI
Michael G. Prucha, MD is an emergency medicine physician with a practice address in Providence, Rhode Island, and NPI 1578975306, issued on May 28, 2014. Check the license (Rhode Island MD16225, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.
- Name
- Michael G. Prucha
- Credential
- MD
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- MD16225 RI
Self-reported in NPPES; status is on the state search - Practice location
- 593 Eddy St, Providence, RI 02903
- Phone
- (401) 444-4000
- Enumerated
- May 28, 2014
- Record last updated
- Jun 17, 2025
- Medicare enrollment
- Enrolled (PECOS I20180514002170); accepts Medicare assignment
- Medical or professional school
- University Of Rochester School Of Medicine And Dentistry, 2014
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 418 in Rhode Island → Look up another NPI →
Also registered at 593 Eddy St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Karen Abi Chebl, MDStudent in an Organized Health Care Education/Training Program1255179552
- Georges Abi Roustom, MDAnesthesiology Physician1548871908
Verify Michael G. Prucha in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
Search for license MD16225Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
88% fewer Medicare Part D claims than the average emergency medicine physician in 2024
28 Medicare Part D claims for 24 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 97.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Brown Emergency MedicineProvidence, RI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Michael G. Prucha among 418 emergency medicine physician records in Rhode Island
Michael G. Prucha, MD is one of 418 emergency medicine physician records with a practice address in Rhode Island. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 54% of them.
- NPI issued2014 · 54% of these records are older, 43% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2014 · median 2012 among the 264 with a school on file
- Record last updated2025 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
246 emergency medicine physician records list a practice address in Providence
They are 246 of the 9,647 NPPES records with a practice address in Providence, and 418 emergency medicine physician records in Rhode Island.
All 418 in Rhode Island → Every provider in Providence → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Jay Baruch, M.D.Providence, RI 029031619950581
- William Binder, MDProvidence, RI 029031992795207
- John Foggle, MDProvidence, RI 029031720027253
- Thomas Germano, MDProvidence, RI 029031841268810
- Nidhi Kapoor, M.D.Providence, RI 029031912972324
- James Monti, M.D.Providence, RI 029031225006877
- Anthony Napoli, MDProvidence, RI 029031952355174
- James Rayner, MDProvidence, RI 029031194793018
Common questions
What is Michael G. Prucha, MD's NPI number?
Michael G. Prucha, MD's National Provider Identifier (NPI) is 1578975306, issued on May 28, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Michael G. Prucha, MD located?
The NPPES record lists a practice address at 593 Eddy St, Providence, RI, 02903. Phone: (401) 444-4000. Providers update this record themselves, so call before visiting.
How can I verify Michael G. Prucha, MD's license?
NPPES lists Rhode Island license number MD16225, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Michael G. Prucha, MD prescribe under Medicare Part D?
In 2024, Michael G. Prucha, MD had 28 Medicare Part D claims for 24 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
What is Michael G. Prucha, MD's MIPS final score?
The 2023 MIPS final score is 97.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.