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DR. SAMUEL MICHAEL PRISCO DDS
NPI 1730241894
Dentist - General Practice in Jermyn, PA

Active since December 15, 2006PECOS Enrolled
5 S WASHINGTON AVE, JERMYN, PA 18433(570) 230-0019(570) 230-0013 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Samuel Michael Prisco Dds NPPES

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

DR. SAMUEL MICHAEL PRISCO DDS (NPI 1730241894) is an individual general practice provider in Jermyn, Pennsylvania, licensed in Pennsylvania (DS022580L) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1730241894
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMUEL MICHAEL PRISCOCredential: DDS
Location Address5 S WASHINGTON AVEJermyn, PA 18433-1121
Mailing Address444 Orchard StScranton, PA 18505-1257 · (570) 342-7868
Phone(570) 230-0019
Fax(570) 230-0013
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateDecember 15, 2006
Last NPPES UpdateJanuary 19, 2026
NPPES CertifiedJanuary 19, 2026
✔ NPI 1730241894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS022580L
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5 S WASHINGTON AVE, Jermyn, PA 18433
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Michael Prisco Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496233942
PECOS Enrollment IDI20260127004347
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 Reassignment

Medicare enrollment records show Samuel Prisco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Wright Center Medical Group
10 mi
Federally Qualified Health Center (FQHC)
501 S WASHINGTON AVE
Scranton, PA 18505
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 91 clinicians in this Medicare group
NPI 1649836941 (570) 941-0630

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 18433 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

DR. MANJU MARY THOMAS MD
Pediatrics
5 S WASHINGTON AVE
JERMYN, PA 18433
Lackawanna County (570) 230-0019
JUMEE BAROOAH MD
Internal Medicine
5 S WASHINGTON AVE
JERMYN, PA 18433
Lackawanna County (570) 209-0019
DR. WILLIAM ROBERT MCCAFFERTY III D.O.
Family Medicine (Sports Medicine)
5 S WASHINGTON AVE
JERMYN, PA 18433
Lackawanna County (610) 627-3690
IVY NATALONI
Community Health Worker
5 S WASHINGTON AVE
JERMYN, PA 18433
Lackawanna County (570) 230-0019
JOE GERARD KELLY
Community Health Worker
5 S WASHINGTON AVE
JERMYN, PA 18433
Lackawanna County (570) 230-0019
TONY ABDELMASEEH M.D
Family Medicine
5 S WASHINGTON AVE
JERMYN, PA 18433
Lackawanna County (570) 230-0019
ANGELA MURPHY CRNP
Nurse Practitioner (Family)
5 S WASHINGTON AVE
JERMYN, PA 18433
Lackawanna County (570) 230-0019
KATHLEEN ANN DOYLE
Community Health Worker
5 S WASHINGTON AVE
JERMYN, PA 18433
Lackawanna County (570) 892-2966

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 Samuel Prisco's NPI number?

The NPI number for Samuel Prisco is 1730241894. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Samuel Prisco located?

Samuel Prisco practices at 5 S Washington Ave, Jermyn, PA 18433. The listed phone number is (570) 230-0019.

What is Samuel Prisco's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Samuel Prisco enrolled in Medicare?

Yes. Samuel Prisco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Prisco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Prisco reassigns Medicare benefits to The Wright Center Medical Group (Scranton, PA). The 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 Samuel Prisco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Prisco accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Antidote Health Plan of Ohio, Inc., BEST Life and Blue Cross and Blue Shield of Montana and 15 other insurers list Samuel Prisco 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 Samuel Prisco was last updated on January 19, 2026. 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.