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Edit this profileBased in West Haven, CT, Edward Prior, M.D. is listed in the NPI registry under internal medicine. Edward graduated from Albert Einstein College of Medicine of Yeshiva University in 1978. Medicare claims data shows Edward provided 354 services to 201 patients. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more, and visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient'. NPI 1336130293 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
687 CAMPBELL AVE
West Haven, CT 06516
Within Internal Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
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354 services · 201 patients · 9 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Treatment | 93000 |
21 | Less often than most peers in Internal Medicine |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
92 | Less often than most peers in Internal Medicine |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
58 | As often as other peers in Internal Medicine |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
57 | Less often than most peers in Internal Medicine |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
44 | As often as other peers in Internal Medicine |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99490 |
36 | Less often than most peers in Internal Medicine |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
21 | Less often than most peers in Internal Medicine |
| Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes | Billing code | G0136 |
13 | Less often than most peers in Internal Medicine |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99487 |
12 | Less often than most peers in Internal Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Edward Prior is an internist in West Haven, CT. That is the designation recorded for this NPI in the federal registry, where it is listed as “Internal Medicine”.
NPI registry
Edward Prior is listed at 687 Campbell Ave, West Haven, CT 06516. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (203) 932-6481. Contact the office directly to confirm availability and scheduling.
NPI registry
Edward Prior's National Provider Identifier is 1336130293. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Edward Prior attended Albert Einstein College of Medicine of Yeshiva University, graduating in 1978. This comes from the CMS National Downloadable File.
CMS public data
Edward Prior has 48 years experience. Calculated from a graduation year of 1978, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Edward Prior provides treatments such as routine electrocardiogram using at least 12 leads with interpretation and report, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Edward Prior. If this is you, claiming it is free.
Guide.md
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