Jorge Prieto, M.D.
NPI 1942269931 · Gastroenterology Physician · Phila, PA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jorge Prieto, M.D. is a Gastroenterology Physician provider in Phila, PA (NPI 1942269931).
Provider details
- NPI number
- 1942269931
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD028441E (PA)
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
20 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
728 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 199 | $135 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 88 | $123 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 74 | $256 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 74 | $98 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 72 | $99 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 299 | 100 |
| Famotidine | 256 | 98 |
| Omeprazole | 232 | 78 |
| Esomeprazole Magnesium | 74 | 19 |
| Linaclotidebrand: Linzess | 73 | 28 |
| Dicyclomine Hcl | 62 | 20 |
| Lipase/Protease/Amylasebrand: Creon | 50 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$570 across 34 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
- 2006-03-20
- Last updated
- 2024-10-28
- Certified
- 2024-10-28
Frequently asked questions
- What is Jorge Prieto's NPI number?
- Jorge Prieto's National Provider Identifier (NPI) is 1942269931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jorge Prieto's specialty?
- Jorge Prieto is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Jorge Prieto located?
- Jorge Prieto's practice location on file with NPPES is 1101 Chestnut St, Phila, PA 19107-3612.
- What is Jorge Prieto's phone number?
- The practice phone number listed in the NPPES registry for Jorge Prieto is (215) 955-8900.
- Does Jorge Prieto accept Medicare?
- Jorge Prieto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jorge Prieto's NPI active?
- Yes — Jorge Prieto's NPI (1942269931) is active in the NPPES registry as of the last update on 2024-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.