DR. FRANCISCO ANDRES GUZMAN PRUNEDA M.D.
NPI 1295120160
Surgery in New York, NY

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
161 FORT WASHINGTON AVE FL 5, NEW YORK, NY 10032(212) 305-1028(212) 342-4506 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Francisco Andres Guzman Pruneda M.d. NPPES

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

DR. FRANCISCO ANDRES GUZMAN PRUNEDA M.D. (NPI 1295120160) is an individual surgery provider in New York, New York, licensed in New York (309420) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1295120160
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. FRANCISCO ANDRES GUZMAN PRUNEDACredential: M.D.
Location Address161 FORT WASHINGTON AVE FL 5New York, NY 10032-3729
Mailing Address161 Fort Washington Ave Fl 5New York, NY 10032-3729 · (212) 305-1028 · Fax (212) 342-4506
Fax(212) 342-4506
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 30, 2015
Last NPPES UpdateApril 26, 2022
NPPES CertifiedApril 26, 2022
NPI 1295120160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 309420
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.
161 FORT WASHINGTON AVE FL 5, New York, NY 10032

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

Dr. Francisco Andres Guzman Pruneda M.d. 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 ID7214242262
PECOS Enrollment IDI20220728002001
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.

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Surgery
161 FORT WASHINGTON AVE FL 5
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
161 FORT WASHINGTON AVE FL 5
NEW YORK, NY 10032
Surgery (Plastic and Reconstructive Surgery)
161 FORT WASHINGTON AVE FL 5
NEW YORK, NY 10032
Physician Assistant (Medical)
161 FORT WASHINGTON AVE FL 5
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
161 FORT WASHINGTON AVE FL 5
NEW YORK, NY 10032
Internal Medicine (Cardiovascular Disease)
161 FORT WASHINGTON AVE FL 5, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
Surgery (Surgical Critical Care)
161 FORT WASHINGTON AVE FL 5
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
161 FORT WASHINGTON AVE FL 5
NEW YORK, NY 10032

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 Francisco Guzman Pruneda's NPI number?

The NPI number for Francisco Guzman Pruneda is 1295120160. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Francisco Guzman Pruneda located?

Francisco Guzman Pruneda practices at 161 Fort Washington Ave Fl 5, New York, NY 10032. The listed phone number is (212) 305-1028.

What is Francisco Guzman Pruneda's specialty?

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

Is Francisco Guzman Pruneda enrolled in Medicare?

Yes. Francisco Guzman Pruneda 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 Francisco Guzman Pruneda affiliated with any hospitals?

According to CMS data, Francisco Guzman Pruneda is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Francisco Guzman Pruneda was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.