Debra Goldson-Prophete, MD
NPI 1831156819 · Internal Medicine Physician · South Orange, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Debra Goldson-Prophete, MD is a Internal Medicine Physician provider in South Orange, NJ (NPI 1831156819).
Provider details
- NPI number
- 1831156819
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MA07114700 (NJ)
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
4,126 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) |
|---|---|---|
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 1,311 | $68 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 634 | $139 |
| 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 | 510 | $18 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 328 | $54 |
| Remote Monitoring of Physiologic Parameters, Initial Supply of Devices With Daily Recordings Or Programmed Alerts Transmission, Each 30 Days99454 | 200 | $54 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 77 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 468 | 157 |
| Atorvastatin Calcium | 459 | 143 |
| Rosuvastatin Calcium | 191 | 71 |
| Hydrochlorothiazide | 141 | 54 |
| Olmesartan Medoxomil | 126 | 41 |
| Metformin Hcl | 120 | 40 |
| Semaglutidebrand: Ozempic |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,536 across 90 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
Additional practice locations (1)
- 440 Chestnut St Ste 102Union, NJ 07083-3100Phone: (973) 313-1113Fax: (973) 313-1191
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Frequently asked questions
- What is Debra Goldson-Prophete's NPI number?
- Debra Goldson-Prophete's National Provider Identifier (NPI) is 1831156819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Debra Goldson-Prophete's specialty?
- Debra Goldson-Prophete is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Debra Goldson-Prophete located?
- Debra Goldson-Prophete's practice location on file with NPPES is 20 Valley Road, South Orange, NJ 07079.
- What is Debra Goldson-Prophete's phone number?
- The practice phone number listed in the NPPES registry for Debra Goldson-Prophete is (973) 313-1113.
- Does Debra Goldson-Prophete accept Medicare?
- Debra Goldson-Prophete is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Debra Goldson-Prophete's NPI active?
- Yes — Debra Goldson-Prophete's NPI (1831156819) is active in the NPPES registry as of the last update on 2023-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.