DR. ALEJANDRO PRUITT MD
NPI 1568447118
Internal Medicine - Gastroenterology in San Antonio, TX

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
5223 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229(210) 614-1234(210) 614-0952 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Feb 16, 2018 (2 updates tracked since 2018).

About Dr. Alejandro Pruitt Md NPPES

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

DR. ALEJANDRO PRUITT MD (NPI 1568447118) is an individual gastroenterology provider in San Antonio, Texas, licensed in Texas (L2567) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568447118
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ALEJANDRO PRUITTCredential: MD
Location Address5223 HAMILTON WOLFE RDSan Antonio, TX 78229-4463
Mailing Address8415 Datapoint Dr Ste 700San Antonio, TX 78229-3327 · (210) 614-1234 · Fax (210) 614-0952
Fax(210) 614-0952
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1993
Enumeration DateDecember 7, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1568447118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TX · L2567
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5223 HAMILTON WOLFE RD, San Antonio, TX 78229

Secondary Practice Locations 2

Location 112850 Toepperwein RdLive Oak, TX 78233-4115 · Phone (210) 614-1234 · Fax (210) 614-0952
Location 2855 Proton RdSan Antonio, TX 78258-4203 · Phone (210) 614-1234 · Fax (210) 614-0952

Other Identifiers 3

OtherP00614098TX · Medicare Rr
Medicaid157699302TX
Other8J8383TX · Bcbs

Accepted Insurance

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. Alejandro Pruitt 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 ID4183629884
PECOS Enrollment IDI20061003000135
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 24

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
129 services128 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
129 services127 patients
Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
94 services69 patients
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259
This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.
91 services91 patients
Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242
This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.
79 services76 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.
62 services62 patients

Hospital Affiliations CMS Care Compare 2

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Reported Quality Measures

Photodocumentation of Cecal Intubation
The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecal intubation is performed to establish a complete examination
99%163 patients
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.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims105 services$4.69 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.

Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Nurse Practitioner
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Physician Assistant
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Anesthesiology
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229

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 Alejandro Pruitt's NPI number?

The NPI number for Alejandro Pruitt is 1568447118. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Alejandro Pruitt located?

Alejandro Pruitt practices at 5223 Hamilton Wolfe Rd, San Antonio, TX 78229. The listed phone number is (210) 614-1234.

What is Alejandro Pruitt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Alejandro Pruitt enrolled in Medicare?

Yes. Alejandro Pruitt 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.

What insurance does Alejandro Pruitt accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Alejandro Pruitt 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 Alejandro Pruitt affiliated with any hospitals?

According to CMS data, Alejandro Pruitt is affiliated with Peterson Regional Medical Center and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Alejandro Pruitt was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.