ANTHONY JOSEPH PRESTIPINO M.D.
NPI 1124032602
Pathology - Anatomic Pathology & Clinical Pathology in Philadelphia, PA

NPI Status: Active since July 28, 2006

Contact Information

132 S 10TH ST
285K
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 503-5642
Fax: (215) 503-4817

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  • Individual
  • Male
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • PECOS Enrolled

About ANTHONY PRESTIPINO

This page provides the complete NPI Profile along with additional information for Anthony Prestipino, a provider established in Philadelphia, Pennsylvania with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1124032602 assigned on July 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number MD032946E (PA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1124032602
Provider Name
ANTHONY JOSEPH PRESTIPINO M.D.
Gender
Male
Entity Type
Individual
Location Address
132 S 10TH ST 285K PHILADELPHIA, PA 19107
Location Phone
(215) 503-5642
Location Fax
(215) 503-4817
Mailing Address
132 S 10TH ST 285K PHILADELPHIA, PA 19107
Is Sole Proprietor?
No
Enumeration Date
07-28-2006
Last Update Date
04-02-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
MD032946E
License State
PA
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZP0105XAllopathic & Osteopathic Physicians

Pathology
Clinical Pathology/Laboratory Medicine

MA72994 (NJ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F05969MEDICARE UPIN (02) 
8650608MEDICAID (05)NJ 

Medicare Participation & PECOS Enrollment Status

Anthony Prestipino is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Pathology examination of specimen during surgery, first tissue block

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

This service was performed 52 times for 22 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 685 times for 285 patients

Pathology examination of tissue using a microscope, limited examination

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

This service was performed 43 times for 40 patients

Pathology examination of tissue using a microscope, moderately high complexity

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

This service was performed 16 times for 11 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 148 times for 37 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 167 times for 128 patients

Special stained specimen slides to identify organisms including interpretation and report

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

This service was performed 14 times for 12 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19107 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $137.17
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $34.29
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for ANTHONY JOSEPH PRESTIPINO M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124032602, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 0 + 3 + 4 + 6 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1124032602.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
132 S 10TH ST, 480 MAIN BUILDING
PHILA, PA 19107
Pediatrics
132 S 10TH ST, 480 MAIN BUILDING
PHILA, PA 19107
Internal Medicine (Gastroenterology)
132 S 10TH ST, 480 MAIN BUILDING
PHILA, PA 19107
Internal Medicine (Gastroenterology)
132 S 10TH ST, 480 MAIN BUILDING
PHILA, PA 19107
Internal Medicine (Gastroenterology)
132 S 10TH ST, 480 MAIN BUILDING
PHILA, PA 19107
Internal Medicine (Gastroenterology)
132 S 10TH ST, 480 MAIN BUILDING
PHILA, PA 19107
Internal Medicine (Gastroenterology)
132 S 10TH ST, 480 MAIN BUILDING
PHILADELPHIA, PA 19107
Pathology (Anatomic Pathology & Clinical Pathology)
132 S 10TH ST, SUITE 263 MAIN BUILDING
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
132 S 10TH ST, THOMAS JEFFERSON UNIVERSITY HOSPITAL, ROOM 1091
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
132 S 10TH ST, 1087 MAIN BLDG.
PHILADELPHIA, PA 19107
Internal Medicine
132 S 10TH ST, 1170 MAIN
PHILADELPHIA, PA 19107
General Acute Care Hospital
132 S 10TH ST, 285 MAIN BLDG
PHILADELPHIA, PA 19107
Pathology (Anatomic Pathology & Clinical Pathology)
132 S 10TH ST, SUITE 285K
PHILADELPHIA, PA 19107
Nuclear Medicine
132 S 10TH ST, SUITE 861, MAIN BUILDING
PHILADELPHIA, PA 19107
General Acute Care Hospital
132 S 10TH ST
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
132 S 10TH ST, MAIN BUILDING
PHILADELPHIA, PA 19107
Nurse Practitioner (Adult Health)
132 S 10TH ST, 480 MAIN BUILDING
PHILA, PA 19107
Student in an Organized Health Care Education/Training Program
132 S 10TH ST, MAIN BUILDING 285 H
PHILADELPHIA, PA 19107
Pathology (Anatomic Pathology & Clinical Pathology)
132 S 10TH ST, STE 285K
PHILADELPHIA, PA 19107
Pathology (Anatomic Pathology & Clinical Pathology)
132 S 10TH ST, SUITE 285K
PHILADELPHIA, PA 19107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124032602, enumerated as an "individual" on July 28, 2006.

The provider is located at 132 S 10TH ST 285K PHILADELPHIA, PA 19107 and the phone number is (215) 503-5642.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.