DR. DOUGLAS LOUIS PRISCO SR. M.D.
NPI 1487654323
Internal Medicine - Pulmonary Disease in New Hyde Park, NY

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
3003 NEW HYDE PARK RD, STE. 201, NEW HYDE PARK, NY 11042(516) 488-2880(516) 488-2022 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Douglas Louis Prisco Sr. M.d. NPPES

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

DR. DOUGLAS LOUIS PRISCO SR. M.D. (NPI 1487654323) is an individual pulmonary disease provider in New Hyde Park, New York, licensed in New York (126645) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1487654323
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DOUGLAS LOUIS PRISCO SR.Credential: M.D.
Location Address3003 NEW HYDE PARK RD, STE. 201New Hyde Park, NY 11042-1214
Mailing Address3003 New Hyde Park Rd, Ste. 201New Hyde Park, NY 11042-1214 · (516) 488-2880 · Fax (516) 488-2022
Fax(516) 488-2022
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateJuly 21, 2005
Last NPPES UpdateNovember 28, 2011
NPI 1487654323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 126645
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

3003 NEW HYDE PARK RD, New Hyde Park, NY 11042

Other Identifiers 8

Other126645NY · Hip
Medicaid00479974NY
Other03411NY · Ghi Medicare
OtherDS049NY · Oxford
Medicare ID-Type Unspecified343741NY
Other343741NY · Empire Bc/bs
Other6006070NY · Cigna
Medicare UPINC08878NY

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. Douglas Louis Prisco Sr. 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 ID6507902541
PECOS Enrollment IDI20091006000301
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
220 services96 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
50 services43 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
36 services35 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
34 services33 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
32 services32 patients
Blood gases measurement, with o2 saturation 82805
Blood gases measurement with O2 saturation is a test that checks how well your lungs are supplying oxygen to your blood and removing carbon dioxide. It helps assess the efficiency of your respiratory system and guides treatment plans.
27 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers16 claims16 services$33.65 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers13 claims65 services$16.28 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers12 claims61 services$12.84 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers36 claims36 services$43.49 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers37 claims37 services$15.00 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers29 claims29 services$11.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Podiatrist
3003 NEW HYDE PARK RD
NEW HYDE PARK, NY 11042
Obstetrics & Gynecology
3003 NEW HYDE PARK RD, SUITE 407
NEW HYDE PARK, NY 11042
Internal Medicine (Pulmonary Disease)
3003 NEW HYDE PARK RD, SUITE 303
NEW HYDE PARK, NY 11042
Internal Medicine (Cardiovascular Disease)
3003 NEW HYDE PARK RD
NEW HYDE PARK, NY 11042
Internal Medicine (Cardiovascular Disease)
3003 NEW HYDE PARK RD, SUITE 411
NEW HYDE PARK, NY 11042
Internal Medicine (Cardiovascular Disease)
3003 NEW HYDE PARK RD, SUITE 411
NEW HYDE PARK, NY 11042
Internal Medicine (Cardiovascular Disease)
3003 NEW HYDE PARK RD, SUITE 411
NEW HYDE PARK, NY 11042
Internal Medicine (Cardiovascular Disease)
3003 NEW HYDE PARK RD, SUITE 411
NEW HYDE PARK, NY 11042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487654323, enumerated as an "individual" on July 21, 2005.

The provider is located at 3003 NEW HYDE PARK RD STE. 201 NEW HYDE PARK, NY 11042 and the phone number is (516) 488-2880.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Medicare, Medicaid, Oxford Health Plans, Blue. Please consult your insurance carrier or call the provider to verify.