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PETER ANTHONY PRIETO M.D.
NPI 1033348891
Surgery - Surgical Oncology in Rochester, NY

Active since July 14, 2009PECOS Enrolled
90.58/100
CMS Quality Rating
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-1611(585) 273-1252 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 3, 2017 (3 updates tracked since 2017).

About Peter Anthony Prieto M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER ANTHONY PRIETO M.D. (NPI 1033348891) is an individual surgical oncology provider in Rochester, New York, licensed in New York (287527) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033348891
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NamePETER ANTHONY PRIETOCredential: M.D.
Location Address601 ELMWOOD AVERochester, NY 14642-4009
Mailing AddressUniveristy Of Rochester Medical Center, Dept Of Surgery, 601 Elmwood Ave, Box SurgRochester, NY 14642 · (585) 276-3332 · Fax (585) 273-2859
Phone(585) 275-1611
Fax(585) 273-1252
Sole ProprietorNo
Enumeration DateJuly 14, 2009
Last NPPES UpdateJune 29, 20233 updates tracked since enumeration
✔ NPI 1033348891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses✔ Licensed in NY · 287527✔ Licensed in TX · Q0154
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
601 ELMWOOD AVE, Rochester, NY 14642
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1180 Sawgrass DrRochester, NY 14620-4653 · Phone (585) 275-1611 · Fax (585) 273-1252
Location 21515 Holcombe BlvdHouston, TX 77030-4009 · Phone (713) 792-6161

Other Identifiers 1

Medicaid336769001TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Anthony Prieto M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Peter Prieto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Rochester
Same address
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100
University Of Rochester Surgical Associates
Same address
Transplant Surgery
601 ELMWOOD AVE, BOX SURG
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 86 clinicians in this Medicare group
NPI 1740205566 (585) 275-1984

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost56.5

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Prieto's NPI number?

The NPI number for Peter Prieto is 1033348891. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Where is Peter Prieto located?

Peter Prieto practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-1611.

What is Peter Prieto's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Peter Prieto enrolled in Medicare?

Yes. Peter Prieto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Prieto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Prieto reassigns Medicare benefits to 2 organizations: University Of Rochester (Rochester, NY) and University Of Rochester Surgical Associates (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Prieto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Prieto was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.