DR. JAMES DMITRY PRISTER M.D.
NPI 1134466501
Hospitalist in New Brunswick, NJ

Active since January 05, 2013PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901(732) 828-3000 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2021, Dec 27, 2019 (2 updates tracked since 2019).

About Dr. James Dmitry Prister M.d. NPPES

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

DR. JAMES DMITRY PRISTER M.D. (NPI 1134466501) is an individual hospitalist provider in New Brunswick, New Jersey, licensed in New Jersey (25MA09268900) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Brunswick, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1134466501
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. JAMES DMITRY PRISTERCredential: M.D.
Location Address1 ROBERT WOOD JOHNSON PLNew Brunswick, NJ 08901-1928
Mailing Address66 W Gilbert St # Cab7300Tinton Falls, NJ 07701-4947 · (843) 459-4120
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 5, 2013
Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
✔ NPI 1134466501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA09268900
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA09268900 (NJ)
1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901

Secondary Practice Location 1

Location 1125 Paterson Street, CAB 7300New Brunswick, NJ 08901-1928 · Phone (732) 235-7112

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Dmitry Prister 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 ID4789827577
PECOS Enrollment IDI20250320002912
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.

Medicare Billing Reassignments

4

Medicare enrollment records show James Prister reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 43 clinicians in this Medicare group
Internal Medicine
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
Family Medicine
401 RIDGE RD, SUITE 6
Dayton, NJ 08810
  • Reassigned Medicare billing, New Jersey enrollment
  • 249 clinicians in this Medicare group
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 728 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
177 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Pathology (Anatomic Pathology)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Anesthesiology
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Acute Care)
1 ROBERT WOOD JOHNSON PL, 2 CORE - RM. 257
NEW BRUNSWICK, NJ 08901
Emergency Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

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 James Prister's NPI number?

The NPI number for James Prister is 1134466501. It was assigned to this individual provider in the NPPES registry on January 5, 2013.

Where is James Prister located?

James Prister practices at 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901. The listed phone number is (732) 828-3000.

What is James Prister's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is James Prister enrolled in Medicare?

Yes. James Prister 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.

Which organizations bill Medicare for James Prister's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Prister reassigns Medicare benefits to 4 organizations: Rutgers Health-Rwj Primary Medicine Group (New Brunswick, NJ), Rutgers Health-Rwj Primary Medicine Group (New Brunswick, NJ), Princeton Healthcare Affiliated Physicians PC (Dayton, NJ) and Banner - University Hospital Based Physicians LLC (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Prister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Prister accept?

Health plans from Oscar Health list James Prister 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.

When was this NPI record last updated?

The NPPES record for James Prister was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.