MIGUEL PRIETO MD
NPI 1437144847
Internal Medicine in Bourne, MA
About Miguel Prieto Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIGUEL PRIETO MD (NPI 1437144847) is an individual internal medicine provider in Bourne, Massachusetts, licensed in Massachusetts (234855) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Miguel Prieto 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 Reassignment
Medicare enrollment records show Miguel Prieto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hyannis, MA 02601
- Reassigned Medicare billing, Massachusetts enrollment
- 423 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 11
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cape Cod Hospital
Acute Care Hospitals · Hyannis, MASouthcoast Hospitals Group
Acute Care Hospitals · Fall River, MABrigham And Women's Hospital
Acute Care Hospitals · Boston, MAFalmouth Hospital
Acute Care Hospitals · Falmouth, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 19
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOURNE, MA 02532
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 Miguel Prieto's NPI number?
The NPI number for Miguel Prieto is 1437144847. It was assigned to this individual provider in the NPPES registry on September 13, 2005.
Where is Miguel Prieto located?
Miguel Prieto practices at 1 Trowbridge Rd, Bourne, MA 02532. The listed phone number is (508) 778-4777.
What is Miguel Prieto's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Miguel Prieto enrolled in Medicare?
Yes. Miguel 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 organization bills Medicare for Miguel Prieto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Prieto reassigns Medicare benefits to Medical Affiliates Of Cape Cod, Inc. (Hyannis, MA). The 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 Miguel Prieto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Miguel Prieto accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Miguel 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.
Is Miguel Prieto affiliated with any hospitals?
According to CMS data, Miguel Prieto is affiliated with Cape Cod Hospital, Southcoast Hospitals Group, Brigham And Women's Hospital and Falmouth Hospital.
When was this NPI record last updated?
The NPPES record for Miguel Prieto was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Miguel Prieto, MD · NPI 1437144847
Internal Medicine physician in Bourne, Massachusetts. Individual provider, active in the CMS NPPES registry since September 13, 2005.
## Identity
- **NPI:** 1437144847 (Entity type: Individual)
- **Enumerated:** September 13, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 234855 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 TROWBRIDGE RD, Bourne, MA 02532-3660
- **Phone:** (508) 778-4777 · **Fax:** (508) 771-9555
## 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:** Medical Affiliates Of Cape Cod, Inc. (NPI 1770534927, Hyannis, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** April 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1437144847) · Data from the CMS NPPES public registry.