JAMES G PRISE MD
NPI 1932134806
Family Medicine in Shawnee, OK

Q: What is James Prise's NPI number?

The NPI number for James Prise is 1932134806. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is James Prise's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Prise was last updated on July 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since July 11, 2006PECOS Enrolled

781 GRAND CASINO BLVD, SHAWNEE, OK 74804(405) 964-5770(405) 964-5783 Get Directions Write a Review

NPPES record last updated: July 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About James G Prise Md NPPES

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

JAMES G PRISE MD (NPI 1932134806) is an individual family medicine provider in Shawnee, Oklahoma, licensed in Oklahoma (19402) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932134806

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES G PRISECredential: MD

Location Address781 GRAND CASINO BLVDShawnee, OK 74804-1005

Mailing AddressPo Box 269064Oklahoma City, OK 73126-9064 · (405) 231-3857 · Fax (405) 272-7977

Phone(405) 964-5770

Fax(405) 964-5783

Sole ProprietorYes

Enumeration DateJuly 11, 2006

Last NPPES UpdateJuly 13, 2015

✔ NPI 1932134806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 19402

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

781 GRAND CASINO BLVD, Shawnee, OK 74804

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Other Identifiers 3

Medicaid100132580BOK

Medicare PIN24961017OK

Medicare UPING19360OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James G Prise Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

MISS MARY E ZIENTEK RN

Registered Nurse (Ambulatory Care)

781 GRAND CASINO BLVD, CITIZEN POTAWATOMI NATION HEALTH SERVICES
SHAWNEE, OK 74804

Pottawatomie County (405) 964-5770

JORDAN BENSON

Physical Therapist