DR. JOSEPH PRINSEN D.O., PH.D.
NPI 1790135754
Internal Medicine in Lodi, CA

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
975 S FAIRMONT AVE, LODI, CA 95240(209) 334-3411 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Dec 10, 2023, May 13, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Joseph Prinsen D.o., Ph.d. NPPES

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

DR. JOSEPH PRINSEN D.O., PH.D. (NPI 1790135754) is an individual internal medicine provider in Lodi, California, licensed in California (20A19528) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790135754
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSEPH PRINSENCredential: D.O., PH.D.
Location Address975 S FAIRMONT AVELodi, CA 95240-5118
Mailing Address220 Mossy Springs DrOakland, TN 38060-3468 · (978) 415-9332
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 20, 2016
Last NPPES UpdateDecember 5, 20246 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1790135754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · 20A19528 Licensed in MI · 5101022490 Licensed in NM · A-2292-19 Licensed in IA · DO-05466 Licensed in TN · 3868 Licensed in VA · 0102207828
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License H90545 (MD), 20A19528 (CA)
975 S FAIRMONT AVE, Lodi, CA 95240

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. Joseph Prinsen D.o., Ph.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 ID7911330832
PECOS Enrollment IDI20230418002545, I20240911003561
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
202 services104 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
91 services91 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
73 services73 patients

Hospital Affiliations CMS Care Compare

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

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95240 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 20

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

Dietitian, Registered
975 S FAIRMONT AVE
LODI, CA 95240
Pathology (Anatomic Pathology & Clinical Pathology)
975 S FAIRMONT AVE
LODI, CA 95240
Emergency Medicine
975 S FAIRMONT AVE
LODI, CA 95240
Physician Assistant
975 S FAIRMONT AVE
LODI, CA 95240
Pharmacy (Clinic Pharmacy)
975 S FAIRMONT AVE, 2415 W VINE #104
LODI, CA 95240
Nurse Practitioner (Family)
975 S FAIRMONT AVE
LODI, CA 95240
Radiology (Diagnostic Radiology)
975 S FAIRMONT AVE
LODI, CA 95240
Pediatrics
975 S FAIRMONT AVE
LODI, CA 95240

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 Joseph Prinsen's NPI number?

The NPI number for Joseph Prinsen is 1790135754. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Joseph Prinsen located?

Joseph Prinsen practices at 975 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 334-3411.

What is Joseph Prinsen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Prinsen enrolled in Medicare?

Yes. Joseph Prinsen 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 Joseph Prinsen affiliated with any hospitals?

According to CMS data, Joseph Prinsen is affiliated with Mary Immaculate Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Prinsen was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.