Paul Pricop , NURSE PRACTITIONER
Nurse Practitioner • Springfield, MA
819 Worcester St Ste 3
Springfield, MA 011511056
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on January 17, 2016; this date does not establish years in practice.
-
Published CMS data list 457 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
-
Published Part B service records, 2021:
- 99309 — Subsequent nursing facility care with moderate level of medical decision making, per day: 163 service units.
- 99310 — Subsequent nursing facility care with high level of medical decision making, per day: 159 service units.
- 90833 — Psychotherapy with evaluation and management visit: 87 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 230 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Published rows only; this is not a quality measure.
-
Published Part D records, 2023:
- Trazodone Hcl — 38 prescription fills, including refills.
- Quetiapine Fumarate — 31 prescription fills, including refills.
- Amlodipine Besylate — 21 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 12 records in the table · Guide: How to read Medicare Part D prescriber data
-
Medicare Part B services went from 1,760 in 2017 to 457 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
819 Worcester St Ste 3
Springfield, MA 011511056
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $42,411 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
Paid by Medicare
About $30,909 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
30-day fills
230 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$13,572 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Paul Pricop has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Paul Pricop as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Springfield and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Paul Pricop are from 2021.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Paul Pricop are from 2023.
58 active clinicians are listed under Nurse Practitioner with a practice address in Springfield, MA (3,483 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
12.1% of these 58 clinicians have the CMS telehealth indicator.
51.7% of these 58 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 74% from 1,760 in 2017 to 457 in 2021.
- 2017: 1,760
- 2018: 1,091
- 2019: 70
- 2020: 1,141
- 2021: 457
-
Medicare-allowed amount
Medicare-allowed amount decreased 70% from $142,700 in 2017 to $42,411 in 2021.
- 2017: $142,700
- 2018: $92,111
- 2019: $7,651
- 2020: $104,305
- 2021: $42,411
-
Paid by Medicare
Paid by Medicare decreased 71% from $108,106 in 2017 to $30,909 in 2021.
- 2017: $108,106
- 2018: $70,112
- 2019: $5,756
- 2020: $83,443
- 2021: $30,909
-
Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 238 in 2019 and 230 in 2023.
- 2019: 238
- 2020: 1,495
- 2021: 1,598
- 2022: 722
- 2023: 230
-
30-day fills
30-day fills varied from year to year: 240 in 2019 and 230 in 2023.
- 2019: 240
- 2020: 1,538
- 2021: 1,638
- 2022: 730
- 2023: 230
-
Part D drug cost
Part D drug cost increased 494% from $2,285 in 2019 to $13,572 in 2023.
- 2019: $2,285
- 2020: $41,039
- 2021: $59,142
- 2022: $43,508
- 2023: $13,572
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
|
163 | 66 | $296.99 | $84.81 |
|
99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
|
159 | 56 | $401.89 | $125.74 |
|
90833
Psychotherapy with evaluation and management visit, 30 minutes
|
87 | 28 | $130.00 | $57.43 |
|
99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
|
22 | 18 | $225.00 | $64.39 |
|
99497
Advance care planning, first 30 minutes
|
14 | 13 | $165.00 | $72.36 |
|
99316
Nursing facility discharge management, more than 30 minutes
|
12 | 12 | $375.00 | $97.33 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Trazodone Hcl | Trazodone Hcl | 38 | 1,110 | $237.27 | — |
| Quetiapine Fumarate | Quetiapine Fumarate | 31 | 659 | $261.77 | — |
| Amlodipine Besylate | Amlodipine Besylate | 21 | 555 | $222.73 | — |
| Metoprolol Succinate | Metoprolol Succinate | 21 | 630 | $288.38 | — |
| Eliquis | Apixaban | 21 | 282 | $5,634.61 | — |
| Januvia | Sitagliptin Phosphate | 18 | 252 | $4,925.88 | — |
| Omeprazole | Omeprazole | 17 | 480 | $140.78 | — |
| Ziprasidone Hcl | Ziprasidone Hcl | 16 | 224 | $294.24 | — |
| Simvastatin | Simvastatin | 12 | 360 | $72.43 | — |
| Sertraline Hcl | Sertraline Hcl | 12 | 360 | $81.36 | — |
| Memantine Hcl | Memantine Hcl | 12 | 360 | $1,306.64 | — |
| Carvedilol | Carvedilol | 11 | 330 | $106.15 | — |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20160503001244
MA
0042519605
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Primary Care
Nurse Practitioner
Physician Assistant - Medical
Physician Assistant
Nurse Practitioner - Family
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Gerontology
Doctor of Nursing Practice, AGPCNPBC
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated January 17, 2016.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Springfield
- Chelsea Daniele, FNP
- Patricia Martin, NP
- Amanda Couchon, FNP
- James Hansel, CNP
- Hannah Washburn, APRN
- Dorothy Sassi, NP
Mailing Address
819 Worcester St Ste 3
Springfield, MA 011511056
Phone: 4135436820