James Prieto, MD
NPI 1154580769 · Colon & Rectal Surgery Physician · San Antonio, TX
Enrolled with Medicare as Practitioner - Colorectal Surgery (proctology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Prieto, MD is a Colon & Rectal Surgery Physician provider in San Antonio, TX (NPI 1154580769).
Provider details
- NPI number
- 1154580769
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME 101254 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
410 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 122 | $171 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 62 | $210 |
| Diagnostic Exam of Anus Using an Endoscope46600 | 53 | $107 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 53 | $118 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 52 | $113 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocortisone | 59 | 37 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 47 | 36 |
| Dicyclomine Hcl | 43 | 25 |
| Colestipol Hcl | 42 | 14 |
| Silver Sulfadiazine | 39 | 19 |
| Lubiprostone | 28 | 13 |
| Metronidazole | 27 | 25 |
| Lidocaine | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$823 across 19 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2022-07-05
- Certified
- 2022-07-05
Frequently asked questions
- What is James Prieto's NPI number?
- James Prieto's National Provider Identifier (NPI) is 1154580769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Prieto's specialty?
- James Prieto is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is James Prieto located?
- James Prieto's practice location on file with NPPES is 5510-B Presidio Parkway, San Antonio, TX 78249.
- What is James Prieto's phone number?
- The practice phone number listed in the NPPES registry for James Prieto is (210) 874-3640.
- Does James Prieto accept Medicare?
- James Prieto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Prieto's NPI active?
- Yes — James Prieto's NPI (1154580769) is active in the NPPES registry as of the last update on 2022-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.