DR. ANTHONY R PRISCO M.D., PH.D.
NPI 1881048635
Internal Medicine - Cardiovascular Disease in Saint Paul, MN

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
225 SMITH AVE N STE 400, SAINT PAUL, MN 55102(651) 290-0133(651) 241-2910 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 3, 2025, Oct 26, 2023, May 10, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Anthony R Prisco M.d., Ph.d. NPPES

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

DR. ANTHONY R PRISCO M.D., PH.D. (NPI 1881048635) is an individual cardiovascular disease provider in Saint Paul, Minnesota, licensed in Minnesota (62862) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1881048635
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ANTHONY R PRISCOCredential: M.D., PH.D.
Location Address225 SMITH AVE N STE 400Saint Paul, MN 55102-2568
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Fax(651) 241-2910
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 18, 2016
Last NPPES UpdateFebruary 3, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1881048635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MN · 62862
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 62862 (MN)
Also ListedHospitalistTaxonomy 208M00000X · License 62862 (MN)
225 SMITH AVE N STE 400, Saint Paul, MN 55102

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. Anthony R Prisco M.d., 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 ID6901139831
PECOS Enrollment IDI20190610000702
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.

Hospital Affiliations CMS Care Compare 5

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521335
Location405 Stageline RoadHudson, WI 54016 · St. Croix County
Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521345
Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

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.

Internal Medicine
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Nurse Practitioner (Adult Health)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Nurse Practitioner
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Nurse Practitioner
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine (Cardiovascular Disease)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine (Cardiovascular Disease)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine (Interventional Cardiology)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102

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 Anthony Prisco's NPI number?

The NPI number for Anthony Prisco is 1881048635. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Anthony Prisco located?

Anthony Prisco practices at 225 Smith Ave N Ste 400, Saint Paul, MN 55102. The listed phone number is (651) 290-0133.

What is Anthony Prisco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Anthony Prisco enrolled in Medicare?

Yes. Anthony Prisco 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 Anthony Prisco accept?

Health plans from HealthPartners and Medica list Anthony 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.

Is Anthony Prisco affiliated with any hospitals?

According to CMS data, Anthony Prisco is affiliated with Lakeview Memorial Hospital, Regions Hospital, Amery Hospital & Clinic, Hudson Hospital and Westfields Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Anthony Prisco was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.