JOHN EDWARD PRIOLEAU MD
NPI 1285613315
Hospitalist in St Augustine, FL
About John Edward Prioleau Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN EDWARD PRIOLEAU MD (NPI 1285613315) is an individual hospitalist provider in St Augustine, Florida, licensed in Florida (ME94505) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Boston University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 5
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
John Edward Prioleau 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.
Medicare Billing Reassignments
3Medicare enrollment records show John Prioleau reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palm Coast, FL 32164
- Reassigned Medicare billing, Florida enrollment
- 300 clinicians in this Medicare group
Jacksonville, FL 32209
- Reassigned Medicare billing, Florida enrollment
- 440 clinicians in this Medicare group
Fort Lauderdale, FL 33308
- Reassigned Medicare billing, Florida enrollment
- 197 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Flagler Hospital
Acute Care Hospitals · Saint Augustine, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Prioleau's NPI number?
The NPI number for John Prioleau is 1285613315. It was assigned to this individual provider in the NPPES registry on January 17, 2006.
Where is John Prioleau located?
John Prioleau practices at 400 Health Park Blvd Ste 300, St Augustine, FL 32086. The listed phone number is (904) 819-4082.
What is John Prioleau's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is John Prioleau enrolled in Medicare?
Yes. John Prioleau 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 John Prioleau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Prioleau reassigns Medicare benefits to 3 organizations: Sound Physicians Of Florida IV, LLC (Palm Coast, FL), Cogent Healthcare Of Jacksonville, LLC (Jacksonville, FL) and Sound Physicians Of Florida Vi LLC (Fort Lauderdale, FL). 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 John Prioleau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Prioleau affiliated with any hospitals?
According to CMS data, John Prioleau is affiliated with Flagler Hospital.
When was this NPI record last updated?
The NPPES record for John Prioleau was last updated on September 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# John Edward Prioleau, MD · NPI 1285613315
Hospitalist physician in St Augustine, Florida. Individual provider, active in the CMS NPPES registry since January 17, 2006.
## Identity
- **NPI:** 1285613315 (Entity type: Individual)
- **Enumerated:** January 17, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** ME94505 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 HEALTH PARK BLVD STE 300, St Augustine, FL 32086-5784
- **Phone:** (904) 819-4082 · **Fax:** (904) 819-5056
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sound Physicians Of Florida IV, LLC (NPI 1740633635, Palm Coast, FL); Cogent Healthcare Of Jacksonville, LLC (NPI 1124252333, Jacksonville, FL); Sound Physicians Of Florida Vi LLC (NPI 1417761073, Fort Lauderdale, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** September 29, 2017
- **Other identifiers:** Medicare UPIN I47321 (FL); Other 30942 (FL); Other P00715723 (FL); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1285613315) · Data from the CMS NPPES public registry.