DR. MAURICE L JR. PRINCE (MD) – Emergency Medicine Physician, NPI 1922040484

DR. MAURICE L JR. PRINCE (MD) is a healthcare provider. based in Owensboro, Kentucky. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 023832 (LA). The NPI Number for DR. MAURICE L JR. PRINCE (MD) is 1922040484

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAURICE L JR. PRINCE (MD)
NPI
1922040484
Phone
(270) 417-5911
Address
1201 Pleasant Valley Rd
Enumeration Date
11 June 2006
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
3347935000
Graduation Year
1997 (29 years ago)
PAC ID
7911895172
Group Practice PAC ID
6305290990
Professional Enrollment ID
I20180712002836
Address ID
AL363051056DO4370XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:20State licenses:4Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

Provider Addresses for DR. MAURICE L JR. PRINCE (MD)

  • 1201 Pleasant Valley Rd

    Owensboro, KY 423039811

    Phone: (270) 417-5911

    Fax: (270) 417-6497

    Type: Location

  • Dubuis Hospital of Lake Charles, 524, South Ryan Street, Lake Charles, Calcasieu Parish, Louisiana, 70601, United States

    LAKE CHARLES, LA 706015725

    Phone: (337) 491-7755

    Type: Location

  • 14050, Northwest 14th Street, Sunrise, Broward County, Florida, 33323, United States

    SUITE 190

    SUNRISE, FL 333232865

    Phone: (800) 424-3672

    Fax: (954) 377-3042

    Type: Mailing

  • 2100 HIGHWAY 61 N

    VICKSBURG, MS 391838211

    Phone: (601) 883-5111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20040309000472IEmergency MedicineLATBD
I20180712002836IEmergency MedicineALTBD
I20230929001588IEmergency MedicineTXTBD
I20240919002876IEmergency MedicineMSTBD
I20241125003141IFamily PracticeMNTBD

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
99284Emergency department visit with moderate level of medical decision making110104$0
99285Emergency department visit with high level of medical decision making9490$0
99291Critical care, first 30-74 minutes4746$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3634$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 42303)

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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: 6305290990View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineIN
Family Practice, Emergency MedicineAL
A N E S T H E S I O L O G YND
Internal Medicine, Emergency MedicineAL
Family PracticeKY
Certified Registered Nurse Anesthetist (Crna)GA
Emergency Medicine, Infectious DiseaseAL
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Family Practice, Emergency MedicineFL

Reviews

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Frequently asked questions

Is DR. MAURICE L JR. PRINCE (MD) listed with a National Provider Identifier?
Yes — DR. MAURICE L JR. PRINCE (MD) has NPI 1922040484 on file in the registry.
Active or inactive — what applies to DR. MAURICE L JR. PRINCE (MD)?
You should see DR. MAURICE L JR. PRINCE (MD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. MAURICE L JR. PRINCE (MD)?
DR. MAURICE L JR. PRINCE (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MAURICE L JR. PRINCE (MD)?
Directory geography for DR. MAURICE L JR. PRINCE (MD) centers on Owensboro, Kentucky.
When was this NPI issued?
Enumeration for DR. MAURICE L JR. PRINCE (MD) is noted as June 11, 2006 where the registry provides it.

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