JAMES PRITSIOLAS (M.D.) – Nephrology Physician, NPI 1063451698
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JAMES PRITSIOLAS (M.D.)
10 VILLAGE RD
FLORHAM PARK, NJ 079322415
Phone: (914) 582-4312
Type: Mailing
Walgreens, 1, Diamond Hill Road, Berkeley Heights, Union County, New Jersey, 07922, United States
BERKELEY HEIGHTS, NJ 079222104
Phone: (201) 243-0700
Fax: (201) 243-0377
Type: Mailing
Summit Medical Group, 75, East Northfield Road, Northfield, Livingston, Essex County, New Jersey, 07039, United States
LIVINGSTON, NJ 070394532
Phone: (201) 243-0700
Fax: (201) 243-0377
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $305.
Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: CALLIDITAS THERAPEUTICS US INC. ($238).
Total Amount
$305
General + Research + Ownership
Payments
10
Total payment records
General Amount
$305
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CALLIDITAS THERAPEUTICS US INC. | $238 |
| AstraZeneca Pharmaceuticals LP | $33 |
| Inari Medical, Inc. | $20 |
| Novo Nordisk Inc | $14 |
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: 2005-07-22
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 |
|---|---|---|---|---|
| I20050722000350 | I | Nephrology | NJ | 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 |
|---|---|---|---|---|
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 2,106 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 580 | 341 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 437 | 243 | $0 |
| 82610 | Cystatin c (enzyme inhibitor) level | 397 | 235 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 365 | 225 | $0 |
Insurance plans in this area (ZIP 07932)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | NJ | |
| Radiation Oncology | NY | |
| - | NJ | |
| - | NJ | |
| Physical Therapist In Private Practice | NJ | |
| - | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| - | NJ |
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