Edward Prior, M.D.
NPI 1336130293 · Internal Medicine Physician · West Haven, CT
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Prior, M.D. is a Internal Medicine Physician provider in West Haven, CT (NPI 1336130293).
Provider details
- NPI number
- 1336130293
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 026944 (CT)
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
354 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 | 92 | $134 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 58 | $193 |
| 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 | 57 | $17 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 44 | $96 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 36 | $67 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 70 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 219 | 68 |
| Clonazepam | 112 | 12 |
| Amlodipine Besylate | 105 | 29 |
| Duloxetine Hcl | 88 | 25 |
| Tirzepatidebrand: Mounjaro | 87 | 12 |
| Alprazolam | 72 | 16 |
| Semaglutide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,061 across 94 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
- 2005-10-31
- Last updated
- 2018-04-10
Frequently asked questions
- What is Edward Prior's NPI number?
- Edward Prior's National Provider Identifier (NPI) is 1336130293, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Prior's specialty?
- Edward Prior is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Edward Prior located?
- Edward Prior's practice location on file with NPPES is 687 Campbell Ave, West Haven, CT 06516-3774.
- What is Edward Prior's phone number?
- The practice phone number listed in the NPPES registry for Edward Prior is (203) 932-6481.
- Does Edward Prior accept Medicare?
- Edward Prior is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Prior's NPI active?
- Yes — Edward Prior's NPI (1336130293) is active in the NPPES registry as of the last update on 2018-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.