1. Home
  2. Directory
  3. Connecticut
  4. Sharon
  5. Pediatrics
  6. NPI Profile

DR. JAMES M PRIBULA MD
NPI 1255331526
Pediatrics in Sharon, CT

Active since July 28, 2005PECOS Enrolled
29 HOSPITAL HILL RD, SUITE 1600, SHARON, CT 06069(860) 364-5585 Get Directions Write a Review

NPPES record last updated: January 16, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. James M Pribula Md NPPES

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

DR. JAMES M PRIBULA MD (NPI 1255331526) is an individual pediatrics provider in Sharon, Connecticut, licensed in Massachusetts (78208) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255331526
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAMES M PRIBULACredential: MD
Location Address29 HOSPITAL HILL RD, SUITE 1600Sharon, CT 06069-2095
Mailing AddressPo Box 789Sharon, CT 06069-0789 · (860) 364-4471 · Fax (860) 364-4410
Phone(860) 364-5585
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateJanuary 16, 2014
✔ NPI 1255331526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 78208
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
29 HOSPITAL HILL RD, Sharon, CT 06069
Open in Google Maps ↗

Other Identifiers 20

Other043202198Hmc - Ppo
Other15567Health New England
Other043202198Childrens Med Plan
Other043202198Cba
Other043202198First Health
Other043202198Great West Health Plan
Other043202198Consolidated Health Plan
Other18252Harvard Pilgrim
Other000000008393Boston Medical Center Hnp
Other0030464Neighborhood Health Plan
OtherJ30037Bc/bs Of Massachusetts
Medicare ID-Type UnspecifiedJ30037MA
Other043202198Multi-plan
Other78208Connecticare Of Ma
Medicare UPINB70803
OtherJ30037Hmo Blue
Other043202198Beech Street
Other043202198Health Care Value Mgmt
Other043202198-015Cigna
Medicaid3112942MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James M Pribula Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show James Pribula reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mass General Brigham Medical Group Western Massachusetts Inc
53 mi
Family Medicine
30 LOCUST ST
Northampton, MA 01060
  • Reassigned Medicare billing, Massachusetts enrollment
  • 539 clinicians in this Medicare group
NPI 1295787919 (413) 582-2898
Physicians Of Falmouth Hospital
149 mi
Internal Medicine
100 TER HEUN DR
Falmouth, MA 02540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 238 clinicians in this Medicare group
NPI 1821363698 (508) 957-8667

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06069 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 10

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

MR. WALTER GERARD DONNELLY JR. MD
Ophthalmology
29 HOSPITAL HILL RD, SUITE #1100
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-5646
SHARON PEDIATRIC ASSOCIATES
Pediatrics
29 HOSPITAL HILL RD, SUITE 1400
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-5523
DR. DAVID REYNARD KURISH MD
Internal Medicine
29 HOSPITAL HILL RD, SUITE 1200
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-0456
EVAN P PROVISOR MD PC
Surgery
29 HOSPITAL HILL RD, SUITE 1600
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-0226
KAREN B AREL APRN, FNP-BC
Nurse Practitioner (Family)
29 HOSPITAL HILL RD
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-7029
REBECCA WIKE MALONE APRN
Nurse Practitioner (Family)
29 HOSPITAL HILL RD, SUITE 1600
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-5585
W PETER REYELT MD
Surgery
29 HOSPITAL HILL RD
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-0226
CATHERINE DEVLIN LEIDIGH MD
Pediatrics
29 HOSPITAL HILL RD, SUITE #1400
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-5523

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 Pribula's NPI number?

The NPI number for James Pribula is 1255331526. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is James Pribula located?

James Pribula practices at 29 Hospital Hill Rd Suite 1600, Sharon, CT 06069. The listed phone number is (860) 364-5585.

What is James Pribula's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Pribula enrolled in Medicare?

Yes. James Pribula is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Pribula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pribula reassigns Medicare benefits to 2 organizations: Mass General Brigham Medical Group Western Massachusetts Inc (Northampton, MA) and Physicians Of Falmouth Hospital (Falmouth, MA). 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 Pribula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Pribula was last updated on January 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.