Douglas Prisco, MD.
NPI 1154537058 · Pulmonary Disease Physician · Mission Hills, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Prisco, MD. is a Pulmonary Disease Physician provider in Mission Hills, CA (NPI 1154537058).
Provider details
- NPI number
- 1154537058
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD.
- Sex
- Male
- Sole proprietor
- No
- License
- A108810 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
928 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 299 | $137 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 192 | $17 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 123 | $122 |
| Critical Care, First 30-74 Minutes99291 | 59 | $216 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 41 | $95 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 408 | 170 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 197 | 43 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 184 | 45 |
| Fluticasone Propion/Salmeterolbrand: Wixela Inhub | 84 | 29 |
| Prednisone | 82 | 43 |
| Budesonide/Formoterol Fumaratebrand: Breyna | 68 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,629 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2026-05-15
- Certified
- 2026-05-15
Frequently asked questions
- What is Douglas Prisco's NPI number?
- Douglas Prisco's National Provider Identifier (NPI) is 1154537058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Prisco's specialty?
- Douglas Prisco is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Prisco located?
- Douglas Prisco's practice location on file with NPPES is 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116.
- What is Douglas Prisco's phone number?
- The practice phone number listed in the NPPES registry for Douglas Prisco is (818) 365-9531.
- Does Douglas Prisco accept Medicare?
- Douglas Prisco is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Prisco's NPI active?
- Yes — Douglas Prisco's NPI (1154537058) is active in the NPPES registry as of the last update on 2026-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.