James Prieto, MD
Colon & Rectal Surgery Physician · San Antonio, TX
James Prieto, MD is a colon & rectal surgery physician with a practice address in San Antonio, Texas, and NPI 1154580769, issued on Jun 9, 2008. Check the license (Texas N4001, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- James Prieto
- Credential
- MD
- Primary taxonomy
- Colon & Rectal Surgery Physician 208C00000X
- License numbers
- N4001 TX
ME 101254 FL
Self-reported in NPPES; status is on the state search - Practice location
- 5510-B Presidio Parkway, San Antonio, TX 78249
- Phone
- (210) 874-3640
- Enumerated
- Jun 9, 2008
- Record last updated
- Jul 5, 2022
- Fax
- (210) 874-3649
- Medicare enrollment
- Enrolled (PECOS I20090825000547); accepts Medicare assignment
- Medical or professional school
- University Of Miami, Lm Miller School Of Medicine, 2003
- Entity
- Type 1 · individual
8 nearest colon & rectal surgery physician records → All 209 in Texas → Look up another NPI →
Also registered at 5510-B Presidio Parkway
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Guillermo Medrano Del Rosal, M.D.Surgery Physician1922461789
Verify James Prieto in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license N4001Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.0 times the Medicare Part D claims of the average colon & rectal surgery physician in 2024
585 Medicare Part D claims for 197 beneficiaries, against an average of 192 among the 1,836 providers of this specialty who prescribed in Part D. Brand-name drugs were 30% of claims. 56 claims were for opioids.
Most prescribed
- Hydrocortisone59 claims
- Oxycodone-Acetaminophen47 claims
- Dicyclomine Hcl43 claims
- Colestipol Hcl42 claims
- Silver Sulfadiazine39 claims
- Lubiprostone28 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $822.90
19 payments; by number, the most common kind was food and beverage; the largest payer was Pacira Pharmaceuticals Incorporated. The 1,524 providers of this specialty with any payment received $3,468.16 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Methodist Physician Practices PLLCSan Antonio, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James Prieto among 209 colon & rectal surgery physician records in Texas
James Prieto, MD is one of 209 colon & rectal surgery physician records with a practice address in Texas. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 57% of them.
- NPI issued2008 · 57% of these records are older, 35% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 84% of these records are
- Graduated2003 · median 2004 among the 174 with a school on file
- Record last updated2022 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208C00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Colon & Rectal Surgery Physician providers in Texas
There are 209 colon & rectal surgery physician records in Texas.
All 209 in Texas → Every provider in San Antonio → Colon & Rectal Surgery Physician nationwide →
The 8 colon & rectal surgery physician records with the nearest ZIP codes
- Mario Alcantara, M.D.San Antonio, TX 782581609039049
- William Lewis, M.D.San Antonio, TX 782581437237369
- Tamara Merchant-McCambry, M.D.San Antonio, TX 782581235183526
- Raul Ramos, MDSan Antonio, TX 782581629076096
- John Winston, M.D.San Antonio, TX 782581356357255
- William Perry, MDLackland A F B, TX 782361821076266
- Bryan KlineSan Antonio, TX 782341225424047
- Katharine Markell, M.D.Ft Sam Houston, TX 782341457328361
Common questions
What is James Prieto, MD's NPI number?
James Prieto, MD's National Provider Identifier (NPI) is 1154580769, issued on Jun 9, 2008. An NPI identifies a provider in billing; it is not a license.
Where is James Prieto, MD located?
The NPPES record lists a practice address at 5510-B Presidio Parkway, San Antonio, TX, 78249. Phone: (210) 874-3640. Providers update this record themselves, so call before visiting.
How can I verify James Prieto, MD's license?
NPPES lists Texas license number N4001, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James Prieto, MD prescribe under Medicare Part D?
In 2024, James Prieto, MD had 585 Medicare Part D claims for 197 beneficiaries; the average among colon & rectal surgery physician prescribers was 192. Part D covers Medicare prescriptions only.
What is James Prieto, MD's MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.