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James Pritsiolas, M.D.

NPI 1063451698ActiveIndividual· Internal Medicine, Nephrology· Livingston, NJ

Internal Medicine, Nephrology (M.D.) in Livingston, New Jersey, trained at Albert Einstein College of Medicine of Yeshiva University (class of 1999). Their prescriptions cost Medicare Part D more than their services did: $845,789 for 3,845 claims, against $249,390 paid for services in 2024. Boston Scientific Corporation was the largest of 2 companies reporting payments in 2025, $167.38 in all, mostly food and beverage.

Overview

NPI1063451698
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedJun 6, 2006
Last updated in NPPESMay 27, 2026
Certified by providerMay 27, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine, Nephrology Primary207RN0300X25MA07882500NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nephrology (NJ)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients620
Services billed12,022 across 82 procedure codes
Paid by Medicare$249,390

Part D prescriptions in 2024

Prescriptions (claims)3,845 · 9,774 30-day fills
Patients554
Total drug cost$845,789
Generic share84% of claims

Medicare sources and data years

Education and affiliations

Medical schoolAlbert Einstein College of Medicine of Yeshiva University
Graduation year1999
Medicare specialtyNephrology
Secondary specialtiesInternal Medicine

Medical group

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$167.38 · 2 payments from 2 companies
  • 2024$290.09 · 9 payments from 4 companies

Top paying companies in 2025

CompanyAmountPayments
Boston Scientific Corporation$149.761
Lilly USA, LLC$17.621

What the 2025 payments were for

  • Food and Beverage$167.38 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Internal Medicine, Nephrology providers in Livingston

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