ANNE MARIE PRENTICE (MD) – Vascular Surgery Physician, NPI 1902877236
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
675 VASCULAR SURGERY in CA
Provider Addresses for ANNE MARIE PRENTICE (MD)
6215 N Fresno St Ste 103
Fresno, CA 937105267
Phone: (559) 431-6226
Fax: (559) 440-9005
Type: Location
2625, Divisadero Street, Fresno, Fresno County, California, 93721, United States
FRESNO, CA 937211431
Phone: (559) 443-2682
Type: Mailing
101, East Alluvial Avenue, Fresno, Fresno County, California, 93720, United States
FRESNO, CA 937202686
Phone: (559) 431-6226
Fax: (559) 440-9005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $3,892.
Total Amount is formed as General ($3,892) + Research ($0) + Ownership ($0) = $3,892.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Penumbra, Inc. ($1,937).
Total Amount
$3,892
General + Research + Ownership
Payments
36
Total payment records
General Amount
$3,892
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $1,937 |
| Silk Road Medical, Inc. | $788 |
| Organogenesis Inc. | $267 |
| W. L. Gore & Associates, Inc. | $155 |
| Medtronic, Inc. | $134 |
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: 2005-01-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050124000566 | I | Vascular Surgery | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 242 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 221 | 130 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 184 | 162 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 170 | 143 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 138 | 19 | $0 |
Insurance plans in this area (ZIP 93710)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | CA | 93922 | Ultrasound study of arteries of both arms and legs | 85 | 72 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Endocrinology, Internal Medicine | CA | |
| Hospice/Palliative Care, Internal Medicine | CA | |
| Emergency Medicine | RI | |
| Emergency Medicine | CA | |
| Emergency Medicine, Medical Toxicology | CA | |
| Emergency Medicine | CA | |
| Hospitalist, Internal Medicine | CA | |
| Emergency Medicine, Hospice/Palliative Care | CA | |
| Emergency Medicine | CA |
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