DR. DANIEL E PRINCE MD, MPH
NPI 1376700013
Orthopaedic Surgery in New York, NY

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
90.76/100
CMS Quality Rating
1275 YORK AVE, NEW YORK, NY 10065(212) 639-2538 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daniel E Prince Md, Mph NPPES

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

DR. DANIEL E PRINCE MD, MPH (NPI 1376700013) is an individual orthopaedic surgery provider in New York, New York, licensed in New York (238949) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2004).

NPPES Registry Identity

NPI1376700013
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DANIEL E PRINCECredential: MD, MPH
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2004
Enumeration DateMay 20, 2008
Last NPPES UpdateJuly 29, 2014
NPI 1376700013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in NY · 238949 Licensed in FL · ME 110931 Licensed in MD · D69038
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1275 YORK AVE, New York, NY 10065

Other Identifiers 1

Medicaid003826200FL

Accepted 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. Daniel E Prince Md, Mph 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 ID4385799048
PECOS Enrollment IDI20141006000083
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 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.

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 services26 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.
25 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

90.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.87
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.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Daniel Prince's NPI number?

The NPI number for Daniel Prince is 1376700013. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Daniel Prince located?

Daniel Prince practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2538.

What is Daniel Prince's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Daniel Prince enrolled in Medicare?

Yes. Daniel Prince 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 Daniel Prince accept?

Health plans from Molina Healthcare list Daniel Prince 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 Daniel Prince was last updated on July 29, 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.