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Dr. Samuel Michael Prisco , DDS

Dentist - General Practice β€’ Jermyn, PA

Active NPI 1730241894 Individual Practitioner Male Practitioner
Practice location in NPPES

5 S Washington Ave
Jermyn, PA 184331121

Call 5702300019 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5 S Washington Ave

Jermyn, PA 184331121

Telephone 5702300019
Fax 5702300013
Organization at the Same NPPES Address or Phone
Community Health Hub Facility NPI 1487105912

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1981

30-day fills

26 standardized 30-day fills in 2024

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

$65 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $28.93 in 2019

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2019.

Guide: How to read an Open Payments record

Years since graduation

45 years (graduated 1981)

CMS Doctors and Clinicians data list 1981 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Prisco 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Prisco 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Jermyn and Pennsylvania

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 75% of clinicians listed under Dentist - General Practice in Pennsylvania (2024, 2,416 clinicians with data). Median for this group: 57. Middle half: 28 to 106.

Too few clinicians listed under Dentist - General Practice in Jermyn have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Dentist - General Practice in Pennsylvania (2024, 2,416 clinicians with data). Median for this group: $183. Middle half: $77 to $366.

Too few clinicians listed under Dentist - General Practice in Jermyn have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Dentist - General Practice with a practice address in Jermyn, PA (4,616 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $28.93.

Manufacturer Payment Nature Product Type Amount ($)
SS White Burs, Inc.
Food and Beverage
In-kind items and services
SS White General $28.93

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 26 161 $64.99 23

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES PA DS022580L

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DENTIST

Medicare Enrollment ID

I20260127004347

Enrollment State Jurisdiction

PA

PECOS Control ID

5496233942

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

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.

25 listed
NPI 1073910923

Doctor of Medicine (M.D.)

Bryan Boyle , PA-C

Physician Assistant - Medical

NPI 1588205744

Physician Assistant (Certified)

Joshua Braddell

Nurse Practitioner - Family

NPI 1881070670
Dr. Timothy Burke , DO

Internal Medicine

NPI 1609188945

Doctor of Osteopathic Medicine (D.O.)

Dr. Charles Burns , MD

Psychiatry & Neurology - Addiction Medicine

NPI 1225022858

Doctor of Medicine (M.D.)

Gina Constantini , LCSW

Social Worker - Clinical

NPI 1174674162

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location January 19, 2026

Registered at 5 S WASHINGTON AVE, JERMYN, PA 184331121 (Tel: 5702300019)

βœ…
NPI Profile Active May 03, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 03, 2016

Registered at 444 ORCHARD ST, SCRANTON, PA 185051257 (Tel: 5703427868)

πŸ“
Business Mailing Address (Initial Record) May 03, 2016

Registered at 444 ORCHARD ST, SCRANTON, PA 185051257 (Tel: 5703427868)

πŸ‘€
Provider Name / Credentials (Initial Record) May 03, 2016

Recorded as SAMUEL PRISCO, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2016

Dentist (license number reported to NPPES: PA DS022580L)

🟒
Initial NPI Registration & Enumeration December 15, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730241894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2006
Last Update: January 19, 2026
Sole Proprietor: Yes

Mailing Address

444 Orchard St

Scranton, PA 185051257

Phone: 5703427868

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.