Douglas Prisco, M.D.
NPI 1487654323 · Pulmonary Disease Physician · New Hyde Park, NY
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Prisco, M.D. is a Pulmonary Disease Physician provider in New Hyde Park, NY (NPI 1487654323).
Provider details
- NPI number
- 1487654323
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 126645 (NY)
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
276 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 | 125 | $144 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 46 | $201 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 35 | $45 |
| Test to Determine Lung Volumes Using Gas Dilution Or Washout94727 | 35 | $51 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 35 | $66 |
Typical Medicare-allowed amounts for these services range $45–$201 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 96 | 20 |
| Montelukast Sodium | 79 | 28 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 47 | 21 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 33 | — |
| Budesonide/Formoterol Fumaratebrand: Budesonide-Formoterol Fumarate | 31 | — |
| Tiotropium Bromidebrand: Spiriva Respimat | 30 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$897 across 28 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
- 2005-07-21
- Last updated
- 2011-11-28
Frequently asked questions
- What is Douglas Prisco's NPI number?
- Douglas Prisco's National Provider Identifier (NPI) is 1487654323, 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 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1214.
- What is Douglas Prisco's phone number?
- The practice phone number listed in the NPPES registry for Douglas Prisco is (516) 488-2880.
- 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 (1487654323) is active in the NPPES registry as of the last update on 2011-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.