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DR. FRANCISCO J PRIETO M.D.
NPI 1881792356
Family Medicine in Elk Grove, CA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
8170 LAGUNA BLVD, #215, ELK GROVE, CA 95758(916) 691-5900(916) 691-6747 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Francisco J Prieto M.d. NPPES

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

DR. FRANCISCO J PRIETO M.D. (NPI 1881792356) is an individual family medicine provider in Elk Grove, California, licensed in California (G57405) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1980).

NPPES Registry Identity

NPI1881792356
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FRANCISCO J PRIETOCredential: M.D.
Location Address8170 LAGUNA BLVD, #215Elk Grove, CA 95758-7901
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(916) 691-5900
Fax(916) 691-6747
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1980
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 28, 2015
✔ NPI 1881792356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G57405
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8170 LAGUNA BLVD, Elk Grove, CA 95758
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Other Identifiers 4

Medicaid00G574050CA
Medicare PIN00G574053CA
Medicare UPINA53281
Medicare ID-Type Unspecified00G574050

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 J 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 ID6608949979
PECOS Enrollment IDI20080718000632
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 2

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 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.
113 services50 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
45 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers22 claims60 services$5.74 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers66 claims66 services$176.37 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 20

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

DR. MORTEZA BEHESHTIAN DDS
Dentist (General Practice)
8170 LAGUNA BLVD, #300
ELK GROVE, CA 95758
Sacramento County (916) 683-2000
SCOTT C CANNON MD
Family Medicine
8170 LAGUNA BLVD, SUITE 114
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
THOMAS N ATKINS MD
Family Medicine
8170 LAGUNA BLVD, SUITE 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
KARANBIR SINGH GILL M.D.
Pediatrics
8170 LAGUNA BLVD, SUITE 210
ELK GROVE, CA 95758
Sacramento County (916) 691-5999
DR. ANDREW G HUDNUT M.D.
Family Medicine
8170 LAGUNA BLVD, #220
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
DR. MARK I GRIJNSZTEIN M.D.
Allergy & Immunology
8170 LAGUNA BLVD, SUITE 200
ELK GROVE, CA 95758
Sacramento County (916) 478-6555
CAROLE CHAN-YOU M.D.
Family Medicine
8170 LAGUNA BLVD, 215
ELK GROVE, CA 95758
Sacramento County (916) 691-5900
ANGELIA WANG MD, MPH
Obstetrics & Gynecology
8170 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 691-5996

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 Prieto's NPI number?

The NPI number for Francisco Prieto is 1881792356. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Francisco Prieto located?

Francisco Prieto practices at 8170 Laguna Blvd #215, Elk Grove, CA 95758. The listed phone number is (916) 691-5900.

What is Francisco Prieto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Francisco Prieto enrolled in Medicare?

Yes. Francisco 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.

When was this NPI record last updated?

The NPPES record for Francisco Prieto was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.