Guillermo Duarte Prieto, M.D.
NPI 1447549795 · Orthopaedic Surgery Physician · New York, NY
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Guillermo Duarte Prieto, M.D. is a Orthopaedic Surgery Physician provider in New York, NY (NPI 1447549795).
Provider details
- NPI number
- 1447549795
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 288396 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
498 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 140 | $105 |
| X-Ray of Foot, Minimum of 3 Views73630 | 123 | $40 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 83 | $192 |
| X-Ray of Ankle, Minimum of 3 Views73610 | 69 | $43 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 65 | $147 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 47 | 37 |
| Diclofenac Sodium | 23 | 17 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,540 across 9 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
Additional practice locations (1)
- 206 Cornelia StPlattsburgh, NY 12901-2878Phone: (518) 561-5516
Registry dates
- Enumerated
- 2011-04-06
- Last updated
- 2022-12-01
- Certified
- 2022-11-03
Frequently asked questions
- What is Guillermo Duarte Prieto's NPI number?
- Guillermo Duarte Prieto's National Provider Identifier (NPI) is 1447549795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Guillermo Duarte Prieto's specialty?
- Guillermo Duarte Prieto is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Guillermo Duarte Prieto located?
- Guillermo Duarte Prieto's practice location on file with NPPES is 57 W 57th St Fl 15, New York, NY 10019-2832.
- What is Guillermo Duarte Prieto's phone number?
- The practice phone number listed in the NPPES registry for Guillermo Duarte Prieto is (212) 289-0700.
- Does Guillermo Duarte Prieto accept Medicare?
- Guillermo Duarte Prieto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Guillermo Duarte Prieto's NPI active?
- Yes — Guillermo Duarte Prieto's NPI (1447549795) is active in the NPPES registry as of the last update on 2022-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.