MARGARET PRIOR
NPI 1336553189
Obstetrics & Gynecology in Fort Defiance, AZ

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment
55.65/100
CMS Quality Rating
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8000 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Nov 19, 2024 (2 updates tracked since 2024).

About Margaret Prior NPPES

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

MARGARET PRIOR (NPI 1336553189) is an individual obstetrics & gynecology provider in Fort Defiance, Arizona, licensed in Michigan (4301105456) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Northern Navajo Medical Center, and is a graduate of Wayne State University School Of Medicine (2014).

NPPES Registry Identity

NPI1336553189
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARGARET PRIOR
Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504-0649
Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2014
Enumeration DateJune 19, 2014
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1336553189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 4301105456
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504

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

Margaret Prior 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 ID4082831243
PECOS Enrollment IDI20190729002492
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

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.

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.
26 services16 patients

Hospital Affiliations CMS Care Compare

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

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM
OwnershipGovernment - Federal
CMS Certification Number320059
LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

55.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.51
Promoting Interoperability0
Improvement Activities40
Cost51.32

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.

Emergency Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Nurse Practitioner (Family)
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Dietitian, Registered
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Physical Therapist
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Pharmacist
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

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 Margaret Prior's NPI number?

The NPI number for Margaret Prior is 1336553189. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Margaret Prior located?

Margaret Prior practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.

What is Margaret Prior's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Margaret Prior enrolled in Medicare?

Yes. Margaret Prior 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.

Is Margaret Prior affiliated with any hospitals?

According to CMS data, Margaret Prior is affiliated with Northern Navajo Medical Center.

When was this NPI record last updated?

The NPPES record for Margaret Prior was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.