DR. THOMAS P PRINDIVILLE (M.D.) – Gastroenterology Physician, NPI 1104879923

DR. THOMAS P PRINDIVILLE (M.D.) is a healthcare provider. based in Sacramento, California. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. C40251 (CA). The NPI Number for DR. THOMAS P PRINDIVILLE (M.D.) is 1104879923

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS P PRINDIVILLE (M.D.)
NPI
1104879923
Phone
(916) 734-7224
Address
4150 V STREET, STE 3500
Enumeration Date
19 May 2006
Last Update Date
22 November 2011

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1970 (56 years ago)
PAC ID
9133193733
Group Practice PAC ID
7517875859
Professional Enrollment ID
I20081203000632
Address ID
CA956675722PL1095XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,981 GASTROENTEROLOGY in CA

Provider Addresses for DR. THOMAS P PRINDIVILLE (M.D.)

  • 4150 V STREET, STE 3500

    SACRAMENTO, CA 958171460

    Phone: (916) 734-7224

    Type: Location

  • 4150, V Street, Sacramento, Sacramento County, California, 95817, United States

    STE 3500

    SACRAMENTO, CA 958171460

    Phone: (916) 734-7224

    Fax: (916) 734-7908

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: ABBVIE INC. ($40).

Total Amount

$58

General + Research + Ownership

Payments

2

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081203000632IGastroenterologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3030$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2323$0
43259Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope2121$0
45380Biopsy of large bowel using a flexible endoscope1717$0
43264Removal of stone or debris from bile or pancreatic duct using a flexible endoscope1413$0
View full utilization report →

Insurance plans in this area (ZIP 95817)

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Provider's Procedures

DR. THOMAS P PRINDIVILLE (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYCA43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517875859View full group profile
NameSpecialtyState
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
Orthopedic SurgeryCA
Internal MedicineCA
Family Practice, Addiction Medicine, Emergency Medicine, Preventive MedicineCA
Nurse PractitionerCA
-CA
Nurse PractitionerCA

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Frequently asked questions

Can I verify DR. THOMAS P PRINDIVILLE (M.D.) with an NPI only?
You can start verification with NPI 1104879923 for DR. THOMAS P PRINDIVILLE (M.D.), then check state licensing separately.
Does CMS list DR. THOMAS P PRINDIVILLE (M.D.) as active?
Yes — DR. THOMAS P PRINDIVILLE (M.D.) is active in the NPI listing used on this page.
What healthcare role does DR. THOMAS P PRINDIVILLE (M.D.) hold?
Scheduling teams often label DR. THOMAS P PRINDIVILLE (M.D.) under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. THOMAS P PRINDIVILLE (M.D.) serve?
DR. THOMAS P PRINDIVILLE (M.D.)'s listing highlights Sacramento, California; more addresses can appear in NPPES.
Is the information about DR. THOMAS P PRINDIVILLE (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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