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DR. EDMUND A. PRIBITKIN M.D.
NPI 1124044789
Otolaryngology in Philadelphia, PA

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
925 CHESTNUT STREET, 6TH FLOOR, PHILADELPHIA, PA 19107(215) 955-6760(215) 923-4532 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Edmund A. Pribitkin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDMUND A. PRIBITKIN M.D. (NPI 1124044789) is an individual otolaryngology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD-039732-E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1986).

NPPES Registry Identity

NPI1124044789
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. EDMUND A. PRIBITKINCredential: M.D.
Location Address925 CHESTNUT STREET, 6TH FLOORPhiladelphia, PA 19107-4204
Mailing Address925 Chestnut Street, 6th FloorPhiladelphia, PA 19107-4204 · (215) 955-6760 · Fax (215) 923-4532
Phone(215) 955-6760
Fax(215) 923-4532
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1986
Enumeration DateJuly 15, 2006
Last NPPES UpdateOctober 23, 2014
✔ NPI 1124044789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in PA · MD-039732-E
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License MD-039732-E (PA)
925 CHESTNUT STREET, Philadelphia, PA 19107
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Other Identifiers 4

Medicaid5625301NJ
Medicaid001298487PA
Medicare UPINE91907PA
Medicare PIN068656PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edmund A. Pribitkin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365402757
PECOS Enrollment IDI20041011000496
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
59 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Incision of tear duct using an endoscope 31239
This procedure involves making a small cut in your tear duct with a special tool called an endoscope. It helps to improve tear drainage and reduce issues like excessive tearing or eye infections. It's a common, safe procedure.
23 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREDERICK M FELLIN MD
Internal Medicine (Hematology & Oncology)
925 CHESTNUT STREET, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
MS. LISA J KEARNS CRNP
Nurse Practitioner (Adult Health)
925 CHESTNUT STREET, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
MS. ALEXANDRA DEANNE COSTLOW AUD
Audiologist-Hearing Aid Fitter
925 CHESTNUT STREET, 6TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6760
DR. IRA S COHEN MD
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT STREET, MEZZANINE FLOOR - JEFFERSON HEART INSTITUTE
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
DR. BEHZAD B. PAVRI M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
925 CHESTNUT STREET, MEZZANINE FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
JOSEPH N TROPEA DO
Internal Medicine (Hematology & Oncology)
925 CHESTNUT STREET, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
DR. TIFFANY PEREZ AVERY M.D.
Internal Medicine (Hematology & Oncology)
925 CHESTNUT STREET, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
DR. TIFFANY PEREZ AVERY M.D.
Internal Medicine (Medical Oncology)
925 CHESTNUT STREET, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmund Pribitkin's NPI number?

The NPI number for Edmund Pribitkin is 1124044789. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Edmund Pribitkin located?

Edmund Pribitkin practices at 925 Chestnut Street 6th Floor, Philadelphia, PA 19107. The listed phone number is (215) 955-6760.

What is Edmund Pribitkin's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Edmund Pribitkin enrolled in Medicare?

Yes. Edmund Pribitkin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edmund Pribitkin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Edmund Pribitkin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edmund Pribitkin affiliated with any hospitals?

According to CMS data, Edmund Pribitkin is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Edmund Pribitkin was last updated on October 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.