Dr James Prieto, MD - Medicare Colorectal Surgery (proctology) in San Antonio, TX

Dr James Prieto, MD is a medicare enrolled "Colon & Rectal Surgery" physician in San Antonio, Texas. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Methodist Physician Practices Pllc and his current practice location is 5510-b Presidio Parkway, Suite 2206, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 874-3640.

Dr James Prieto is licensed to practice in Texas (license number N4001) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154580769.

Contact Information

Dr James Prieto, MD
5510-b Presidio Parkway, Suite 2206,
San Antonio, TX 78249
(210) 874-3640
(210) 874-3649

Map and Direction




Physician's Profile

Full NameDr James Prieto
GenderMale
SpecialityColorectal Surgery (proctology)
Experience21 Years
Location5510-b Presidio Parkway, San Antonio, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James Prieto attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1154580769
  • Provider Enumeration Date: 06/09/2008
  • Last Update Date: 07/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789739889
  • Enrollment ID: I20090825000547

Medical Identifiers

Medical identifiers for Dr James Prieto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154580769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery ME 101254 (Florida)Secondary
208C00000XColon & Rectal Surgery N4001 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist HospitalSan antonio, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Methodist Physician Practices Pllc8022171974153

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James Prieto allows following entities to bill medicare on his behalf.
Entity NameMethodist Physician Practices Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922252717
PECOS PAC ID: 8022171974
Enrollment ID: O20090121000165

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Prieto is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James Prieto, MD
5510-b Presidio Parkway, Suite 2206,
San Antonio, TX 78249

Ph: (210) 874-3640
Dr James Prieto, MD
5510-b Presidio Parkway, Suite 2206,
San Antonio, TX 78249

Ph: (210) 874-3640

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.