JOHN EDWARD PRIOLEAU MD
NPI 1285613315
Hospitalist in St Augustine, FL

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
400 HEALTH PARK BLVD STE 300, ST AUGUSTINE, FL 32086(904) 819-4082(904) 819-5056 Get Directions Write a Review

NPPES record last updated: September 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1285613315
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOHN EDWARD PRIOLEAUCredential: MD
Location Address400 HEALTH PARK BLVD STE 300St Augustine, FL 32086-5784
Mailing AddressPo Box 3123St Augustine, FL 32085-3123 · (904) 819-4082 · Fax (904) 819-5056
Fax(904) 819-5056
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2002
Enumeration DateJanuary 17, 2006
Last NPPES UpdateSeptember 29, 2017
NPI 1285613315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME94505
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedSpecialistTaxonomy 174400000X · License ME94505 (FL)
Also ListedInternal MedicineTaxonomy 207R00000X · License ME94505 (FL)
400 HEALTH PARK BLVD STE 300, St Augustine, FL 32086

Other Identifiers 5

Medicare UPINI47321FL
Other30942FL · Fl Blue
OtherP00715723FL · Railroad Medicare
Other1776587FL · Cigna
Medicare PIN30942ZFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1052333580
PECOS Enrollment IDI20051228000270
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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
123 services122 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
51 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services36 patients

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, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Physician 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.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Hospitalist
400 HEALTH PARK BLVD STE 300
ST AUGUSTINE, FL 32086
Family Medicine
400 HEALTH PARK BLVD STE 300
ST AUGUSTINE, FL 32086
Internal Medicine
400 HEALTH PARK BLVD STE 300
ST AUGUSTINE, FL 32086
Hospitalist
400 HEALTH PARK BLVD STE 300
ST AUGUSTINE, FL 32086

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.

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 with the weekly NPPES data releases published by CMS.