DR. GUILLERMO FELIPE DUARTE PRIETO M.D.
NPI 1447549795
Orthopaedic Surgery in New York, NY

Q: What is Guillermo Duarte Prieto's NPI number?

The NPI number for Guillermo Duarte Prieto is 1447549795. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Q: What is Guillermo Duarte Prieto's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since April 06, 2011PECOS EnrolledAccepts Medicare Assignment

57 W 57TH ST FL 15, NEW YORK, NY 10019(212) 289-0700 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2022, Mar 17, 2018, Nov 29, 2017 (3 updates tracked since 2017).

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About Dr. Guillermo Felipe Duarte Prieto M.d. NPPES

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

DR. GUILLERMO FELIPE DUARTE PRIETO M.D. (NPI 1447549795) is an individual orthopaedic surgery provider in New York, New York, licensed in New York (288396) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and maintains a secondary practice location in Plattsburgh.

NPPES Registry Identity

NPI1447549795

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. GUILLERMO FELIPE DUARTE PRIETOCredential: M.D.

Location Address57 W 57TH ST FL 15New York, NY 10019-2832

Mailing Address57 W 57th St Fl 15New York, NY 10019-2832 · (212) 289-0700

Phone(212) 289-0700

Sole ProprietorYes

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2011

Enumeration DateApril 6, 2011

Last NPPES UpdateDecember 1, 20223 updates tracked since enumeration

NPPES CertifiedNovember 3, 2022

✔ NPI 1447549795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in NY · 288396

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

57 W 57TH ST FL 15, New York, NY 10019

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Secondary Practice Location 1

Location 1206 Cornelia StPlattsburgh, NY 12901-2878 · Phone (518) 561-5516

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. Guillermo Felipe Duarte 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 ID6103194915

PECOS Enrollment IDI20170620003030

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

Medicare enrollment records show Guillermo Duarte Prieto reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Guillermo Felipe Duarte Prieto MD PLLC

Same address

Orthopaedic Surgery

57 W 57TH ST FL 15
New York, NY 10019

Reassigned Medicare billing, New York enrollment

NPI 1033862917 (212) 289-0700

Medical Services Of Lenox Hill, PC

Same address

Orthopaedic Surgery

57 W 57TH ST FL 15
New York, NY 10019

Reassigned Medicare billing, New York enrollment
5 clinicians in this Medicare group

NPI 1992576003 (212) 289-0700

Lenox Hill Faculty Medical Affiliates University Faculty Prac

1.1 mi

Physician Assistant

100 E 77TH ST
New York, NY 10075

Reassigned Medicare billing, New York enrollment
19 clinicians in this Medicare group

NPI 1619713716 (212) 434-2000

Champlain Valley Physicians Hospital Medical Center

273 mi

General Acute Care Hospital

75 BEEKMAN ST
Plattsburgh, NY 12901

Reassigned Medicare billing, New York enrollment
675 clinicians in this Medicare group

NPI 1033270699 (518) 561-2000

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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

140 services91 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

123 services73 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

83 services83 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

69 services46 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

65 services53 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330119

Location100 East 77th StreetNew York, NY 10021 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 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.

Reported Quality Measures

Osteoarthritis (OA): Function and Pain Assessment

Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain

100%84 patients5/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

32%665 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier12 claims12 services$8.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GUILLERMO FELIPE DUARTE PRIETO MD PLLC

Orthopaedic Surgery