Doctor profile · Federal record
Dr. Edward Prior, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · West Haven, CT
- NPI 1336130293
- Accepts Medicare
- MIPS 90.8 / 100 · 2023
- 48 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
687 Campbell Ave
West Haven, CT 065163774
(203) 932-6481
fax (203) 932-4051 - Mailing address
-
322 E Main St Ste 1B
Branford, CT 064053136
Credentials & registration
- NPI registered
- October 2005 — 21 yrs on file
- Profile last updated
- April 10, 2018
- Year of graduation
- 1978 — 48 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Connecticut #026944
- Medicaid
- CT #001269449
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336130293. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
433
Distinct HCPCS
10
Medicare allowed
$46,334
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 141 | 60 | $133 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 72 | 41 | $94 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 62 | 39 | $188 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 33 | 33 | $138 | |
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 31 | 17 | $66 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 27 | 22 | $15 | |
82947 |
Blood glucose (sugar) level | 25 | 11 | $4 | |
99491 |
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 18 | 15 | $90 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 13 | 13 | $20 | |
G0442 |
Annual alcohol misuse screening, 5 to 15 minutes | 11 | 11 | $20 |
In context: peer comparison
Among 10 peers in this city , average services per provider: 61. This provider delivers 7.1× the peer median.Open Payments
Industry payments received
All-time total
$2,061
Transactions
94
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 29 | $541.00 | |
| AstraZeneca Pharmaceuticals LP | 15 | $377.06 | |
| Otsuka America Pharmaceutical, Inc. | 11 | $213.44 | |
| Lilly USA, LLC | 3 | $169.40 | |
| GlaxoSmithKline, LLC. | 7 | $139.52 | |
| Novo Nordisk Inc | 5 | $113.32 | |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | 5 | $109.03 | |
| Axsome Therapeutics, Inc. | 4 | $91.87 | |
| Inspire Medical Systems, Inc. | 3 | $84.50 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 4 | $68.36 | |
| Exact Sciences Corporation | 4 | $66.27 | |
| PFIZER INC. | 3 | $62.91 | |
| Merck Sharp & Dohme LLC | 1 | $24.39 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,267
Patients
240
Total drug cost
$302,559
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 181 | 57 | $2,730 |
| Clonazepam | Generic | 122 | 12 | $1,723 |
| Amlodipine Besylate | Generic | 110 | 34 | $805 |
| Duloxetine Hcl | Generic | 105 | 27 | $3,367 |
| Metoprolol Succinate | Generic | 91 | 21 | $2,299 |
| Vraylar (Cariprazine Hcl) | Brand | 81 | 0 | $120,709 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 78 | 23 | $1,239 |
| Dextroamphetamine-Amphet Er (Dextroamphetamine/Amphetamine) | Brand | 69 | 0 | $10,232 |
| Escitalopram Oxalate | Generic | 65 | 19 | $1,407 |
| Ozempic (Semaglutide) | Brand | 64 | 0 | $79,124 |
Frequently asked questions
What is Dr. Edward Prior's medical specialty?
Dr. Edward Prior practices Internal Medicine Physician in West Haven, CT.
Where does Dr. Edward Prior practice?
Dr. Edward Prior practices at 687 Campbell Ave, West Haven, CT 065163774. Office phone: 2039326481.
What is Dr. Edward Prior's NPI?
Dr. Edward Prior's National Provider Identifier (NPI) is 1336130293, issued by NPPES.
Does Dr. Edward Prior accept Medicare assignment?
Yes. Dr. Edward Prior accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Edward Prior commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.