Paul Pritchett Sr, M.D.
NPI 1275535981 · Internal Medicine Physician · La Plata, MD
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Pritchett Sr, M.D. is a Internal Medicine Physician provider in La Plata, MD (NPI 1275535981).
Provider details
- NPI number
- 1275535981
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D0008370 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
169 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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 88 | $178 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 81 | $56 |
Typical Medicare-allowed amounts for these services range $56–$178 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 40 | — |
| Atorvastatin Calcium | 35 | 13 |
| Simvastatin | 34 | — |
| Amlodipine Besylate | 34 | 13 |
| Losartan Potassium | 28 | 11 |
| Omeprazole | 27 | — |
| Bisoprolol/Hydrochlorothiazidebrand: Bisoprolol-Hydrochlorothiazide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22 across 1 record (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
- 2005-08-12
- Last updated
- 2007-07-08
Frequently asked questions
- What is Paul Pritchett Sr's NPI number?
- Paul Pritchett Sr's National Provider Identifier (NPI) is 1275535981, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Pritchett Sr's specialty?
- Paul Pritchett Sr is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Pritchett Sr located?
- Paul Pritchett Sr's practice location on file with NPPES is 118 Lagrange Ave, La Plata, MD 20646-9591.
- What is Paul Pritchett Sr's phone number?
- The practice phone number listed in the NPPES registry for Paul Pritchett Sr is (301) 934-3626.
- Does Paul Pritchett Sr accept Medicare?
- Paul Pritchett Sr is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Pritchett Sr's NPI active?
- Yes — Paul Pritchett Sr's NPI (1275535981) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.