DR. ANTHONY R PRISCO M.D., PH.D.
NPI 1881048635
Internal Medicine - Cardiovascular Disease in Saint Paul, MN
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 maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Anthony Prisco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Healtheast Medical Research Institute
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55107
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MNRegions Hospital
Acute Care Hospitals · Saint Paul, MNAmery Hospital & Clinic
Critical Access Hospitals · Amery, WIHudson Hospital
Critical Access Hospitals · Hudson, WIWestfields Hospital And Clinic
Critical Access Hospitals · New Richmond, WIPhysician 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.
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.
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.
SAINT PAUL, MN 55102
SAINT PAUL, MN 55102
SAINT PAUL, MN 55102
SAINT PAUL, MN 55102
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.
Which organizations bill Medicare for Anthony Prisco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Prisco reassigns Medicare benefits to 3 organizations: Healtheast Medical Research Insititue (Saint Paul, MN), Group Health, Inc. (Saint Paul, MN) and Fairview Health Services (Minneapolis, MN). Each 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 Anthony Prisco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anthony Prisco accept?
Health plans from HealthPartners 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 20 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.
# Dr. Anthony R Prisco, M.D., PH.D. · NPI 1881048635
Cardiovascular Disease physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since April 18, 2016.
## Identity
- **NPI:** 1881048635 (Entity type: Individual)
- **Enumerated:** April 18, 2016
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 62862 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 SMITH AVE N STE 400, Saint Paul, MN 55102-2568
- **Phone:** (651) 290-0133 · **Fax:** (651) 241-2910
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Healtheast Medical Research Insititue (NPI 1417145517, Saint Paul, MN); Group Health, Inc. (NPI 1801941943, Saint Paul, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881048635) · Data from the CMS NPPES public registry.