Sebastian Prokop, MD
Family Medicine Physician · Gloucester, VA
Sebastian Prokop, MD is a family medicine physician with a practice address in Gloucester, Virginia, and NPI 1104559855, issued on Jul 8, 2022. Check the license on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Sebastian Prokop
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- MT227092 PA
Self-reported in NPPES; status is on the state search - Practice location
- 5659 Parkway Dr Ste 210, Gloucester, VA 23061
- Phone
- (804) 210-1025
- Enumerated
- Jul 8, 2022
- Record last updated
- Jul 29, 2025
- Medicare enrollment
- Enrolled (PECOS I20250917003673); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 4,137 in Virginia → Look up another NPI →
Also registered at 5659 Parkway Dr Ste 210
A shared address usually means a shared clinic or building; it does not show who employs whom.
- David Belvin, M.D.Family Medicine Physician1093799082
- Brandi Gomez, NPFamily Nurse Practitioner1043864564
- Madalyn White, NPFamily Nurse Practitioner1134764798
Verify Sebastian Prokop in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health ProfessionsCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
93% fewer Medicare Part D claims than the average family medicine physician in 2024
234 Medicare Part D claims for 24 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.
Most prescribed
- Famotidine22 claims
- Alendronate Sodium17 claims
- Rosuvastatin Calcium14 claims
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.
Bills Medicare through one group practice
- Sentara Medical GroupGloucester, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sebastian Prokop among 4,137 family medicine physician records in Virginia
Sebastian Prokop, MD is one of 4,137 family medicine physician records with a practice address in Virginia. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 93% of them.
- NPI issued2022 · 93% of these records are older, 5% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2022 · median 2004 among the 2,426 with a school on file
- Record last updated2025 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 family medicine physician records list a practice address in Gloucester
They are 8 of the 312 NPPES records with a practice address in Gloucester, and 4,137 family medicine physician records in Virginia.
All 4,137 in Virginia → Every provider in Gloucester → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- David Belvin, M.D.Gloucester, VA 230611093799082
- Richard Honablue, MDGloucester, VA 230611275740557
- Joseph Leming, MDGloucester, VA 230611326067877
- Wendell Poulsen, M.D.Gloucester, VA 230611457326811
- Wayne Reynolds, D.O.Gloucester, VA 230611851366173
- Donald Tschan, MDGloucester, VA 230611962463240
- Francis West, MDGloucester, VA 230611235226176
- Helen Adams, MDGlen Allen, VA 230601982625463
Common questions
What is Sebastian Prokop, MD's NPI number?
Sebastian Prokop, MD's National Provider Identifier (NPI) is 1104559855, issued on Jul 8, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Sebastian Prokop, MD located?
The NPPES record lists a practice address at 5659 Parkway Dr Ste 210, Gloucester, VA, 23061. Phone: (804) 210-1025. Providers update this record themselves, so call before visiting.
How can I verify Sebastian Prokop, MD's license?
Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sebastian Prokop, MD prescribe under Medicare Part D?
In 2024, Sebastian Prokop, MD had 234 Medicare Part D claims for 24 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions 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.