Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kirk D Prodzinski, DO

Individual provider Family Medicine Physician · NPI 1245206648

Kirk D Prodzinski, DO is a Family Medicine Physician in Emmett, Idaho. Licensed in Iowa, Idaho, Minnesota and Wisconsin. Registered with an NPI since 2006.

Licensed in
IA, ID, MN, WI
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

207 E 12th St
Emmett, ID 83617-3626
Phone: (208) 365-1065
Fax: (208) 365-1068
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-0600 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 41285 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 42041 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 04555 (IA)

Record details

NPI number1245206648
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients42
Services billed 78 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Other providers in Emmett