DR. TODD V PRIER MD
NPI 1174625651
Surgery in Binghamton, NY

Active since September 04, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
169 RIVERSIDE DR, ACC BUILDING, BINGHAMTON, NY 13905(607) 352-3550 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Todd V Prier Md NPPES

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

DR. TODD V PRIER MD (NPI 1174625651) is an individual surgery provider in Binghamton, New York, licensed in New York (248238) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1174625651
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. TODD V PRIERCredential: MD
Location Address169 RIVERSIDE DR, ACC BUILDINGBinghamton, NY 13905-4246
Mailing Address169 Riverside Dr, Acc BuildingBinghamton, NY 13905-4246 · (607) 352-3550
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 4, 2006
Last NPPES UpdateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1174625651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 248238
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
169 RIVERSIDE DR, Binghamton, NY 13905

Other Identifiers 3

OtherRB8676NY · Medicare Ins. #
Medicaid02984027NY
Medicaid4749394MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Todd V Prier Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901832393
PECOS Enrollment IDI20080708000351
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

5

Medicare enrollment records show Todd Prier reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
169 RIVERSIDE DR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 386 clinicians in this Medicare group
General Practice
200 NORTH ST
Geneva, NY 14456
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
Internal Medicine
6692 MIDDLE RD
Sodus, NY 14551
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
Family Medicine
127 NORTH ST
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

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.

Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner (Adult Health)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Licensed Practical Nurse
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Urology
169 RIVERSIDE DR, DEPAUL PAVILION
BINGHAMTON, NY 13905

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 Todd Prier's NPI number?

The NPI number for Todd Prier is 1174625651. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Todd Prier located?

Todd Prier practices at 169 Riverside Dr Acc Building, Binghamton, NY 13905. The listed phone number is (607) 352-3550.

What is Todd Prier's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Todd Prier enrolled in Medicare?

Yes. Todd Prier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Todd Prier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Prier reassigns Medicare benefits to 5 organizations: Our Lady Of Lourdes Memorial Hospital, Inc. (Binghamton, NY), Western New York Medical Practice, P.C. (Geneva, NY), Rochester General Hospital (Sodus, NY), The Unity Hospital Of Rochester (Rochester, NY) and United Memorial Medical Center (Batavia, 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 Todd Prier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Todd Prier affiliated with any hospitals?

According to CMS data, Todd Prier is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Todd Prier was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.