1. Home
  2. Directory
  3. Florida
  4. St Petersburg
  5. Obstetrics Gynecology
  6. NPI Profile

DR. JOSE A PRIETO M.D.
NPI 1376573782
Obstetrics & Gynecology - Maternal & Fetal Medicine in St Petersburg, FL

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
625 6TH AVE S, STE 340, ST PETERSBURG, FL 33701(727) 553-7903(727) 553-7905 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jose A Prieto M.d. NPPES

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

DR. JOSE A PRIETO M.D. (NPI 1376573782) is an individual maternal & fetal medicine provider in St Petersburg, Florida, licensed in Florida (ME 70330) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1990).

NPPES Registry Identity

NPI1376573782
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. JOSE A PRIETOCredential: M.D.
Location Address625 6TH AVE S, STE 340St Petersburg, FL 33701-4662
Mailing Address625 6th Ave S, Ste 340St Petersburg, FL 33701-4662 · (727) 553-7903 · Fax (727) 553-7905
Phone(727) 553-7903
Fax(727) 553-7905
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1990
Enumeration DateJuly 3, 2006
Last NPPES UpdateFebruary 6, 2019
✔ NPI 1376573782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in FL · ME 70330
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
625 6TH AVE S, St Petersburg, FL 33701
Open in Google Maps ↗

Other Identifiers 1

Medicaid022803300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Jose A Prieto 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 ID2062686041
PECOS Enrollment IDI20111201000423
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

3

Medicare enrollment records show Jose Prieto reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohi West Medical Group, LLC
Same address
Cardiovascular Disease
701 6TH ST S
St Petersburg, FL 33701
  • Reassigned Medicare billing, Florida enrollment
  • 269 clinicians in this Medicare group
NPI 1518572551 (727) 823-1234
West Coast Neonatology, Inc.
1.0 mi
Neonatal-Perinatal Medicine
601 5TH ST S, 5TH FLOOR
St Petersburg, FL 33701
  • Reassigned Medicare billing, Florida enrollment
  • 37 clinicians in this Medicare group
NPI 1225085715 (727) 767-4313
Mcr Health, Inc.
19 mi
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
NPI 1255376000 (941) 776-4050

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 33701 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

BRADLEY HARMON SIPE MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
625 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-7903
ADVANCED ENTS OF TAMPA BAY LLC
Otolaryngology (Pediatric Otolaryngology)
625 6TH AVE S, SUITE 385
SAINT PETERSBURG, FL 33701
Pinellas County (727) 553-7100
KRISTIN TEKOLA ARNP
Registered Nurse (Pediatrics)
625 6TH AVE S, 405
ST PETERSBURG, FL 33701
Pinellas County (727) 498-8994
WOMENS CARE FLORIDA LLP
Obstetrics & Gynecology
625 6TH AVE S, #350
ST PETERSBURG, FL 33701
Pinellas County (727) 456-0080
BURNES LYNN FEASTER III MD
Internal Medicine (Pulmonary Disease)
625 6TH AVE S, STE 475
ST PETERSBURG, FL 33701
Pinellas County (727) 895-7907
ALL CHILDREN'S PERINATOLOGY SPECIALISTS
Obstetrics & Gynecology (Maternal & Fetal Medicine)
625 6TH AVE S, SUITE 340
ST PETERSBURG, FL 33701
Pinellas County (727) 553-7903
MISS JOHN DANIEL HOCH
Student in an Organized Health Care Education/Training Program
625 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 568-6859
JENNIFER AYSCUE MD
Colon & Rectal Surgery
625 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 893-6363

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 Jose Prieto's NPI number?

The NPI number for Jose Prieto is 1376573782. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Jose Prieto located?

Jose Prieto practices at 625 6th Ave S Ste 340, St Petersburg, FL 33701. The listed phone number is (727) 553-7903.

What is Jose Prieto's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Jose Prieto enrolled in Medicare?

Yes. Jose Prieto 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 Jose Prieto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Prieto reassigns Medicare benefits to 3 organizations: Ohi West Medical Group, LLC (St Petersburg, FL), West Coast Neonatology, Inc. (St Petersburg, FL) and Mcr Health, Inc. (Parrish, 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 Jose Prieto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Prieto accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 8 other insurers list Jose Prieto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jose Prieto was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.