JORGE A. PRIETO M.D.
NPI 1942269931
Internal Medicine - Gastroenterology in Phila, PA

Q: What is Jorge Prieto's NPI number?

The NPI number for Jorge Prieto is 1942269931. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Q: What is Jorge Prieto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jorge Prieto was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment

1101 CHESTNUT ST, PHILA, PA 19107(215) 955-8900(215) 955-5245 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jorge A. Prieto M.d. NPPES

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

JORGE A. PRIETO M.D. (NPI 1942269931) is an individual gastroenterology provider in Phila, Pennsylvania, licensed in Pennsylvania (MD028441E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Inspira Medical Center Mullica Hill, and is a graduate of University Of Michigan Medical School (1981).

NPPES Registry Identity

NPI1942269931

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJORGE A. PRIETOCredential: M.D.

Location Address1101 CHESTNUT STPhila, PA 19107-3612

Mailing Address132 S 10th St, 480 Main BuildingPhila, PA 19107-5244 · (215) 955-8900 · Fax (215) 955-5245

Phone(215) 955-8900

Fax(215) 955-5245

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1981

Enumeration DateMarch 20, 2006

Last NPPES UpdateOctober 28, 2024

NPPES CertifiedOctober 28, 2024

✔ NPI 1942269931 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 PA · MD028441E

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.

1101 CHESTNUT ST, Phila, PA 19107

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Other Identifiers 2

Medicaid3617203NJ

Medicaid0010125520003PA

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

Jorge 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 ID9335163096

PECOS Enrollment IDI20070430000184, I20101028001421

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 14

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.

199 services148 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

88 services87 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.

74 services73 patients

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

74 services56 patients

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.

72 services70 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.

50 services50 patients

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.

39 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

26 services11 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

25 services25 patients

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

23 services20 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services20 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.

13 services13 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

12 services12 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310069

Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County

Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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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.

EMILY RUBIN R.D.

Dietitian, Registered

1101 CHESTNUT ST
PHILA, PA 19107

Philadelphia County (215) 955-8900

LAUREL VIRGINIA KOVALCHICK MD

Psychiatry & Neurology (Neurology)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1234

CHRISTOPHER JAMES ADKINS M.D.

Internal Medicine (Gastroenterology)

1101 CHESTNUT ST
PHILA, PA 19107

Philadelphia County (215) 955-8900

SARAH F ADAMS CCC-SLP

Speech-Language Pathologist

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6760

REBECCA LOH

Internal Medicine (Gastroenterology)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-8900

EDDIE DIAZ SERRANO AUD

Audiologist

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6760

RORY MARGARET ANDERSON CRNP

Nurse Practitioner (Family)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (800) 533-3669

MAEVE CALLAHAN CRNP

Nurse Practitioner (Adult Health)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (800) 533-3669

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 Jorge Prieto's NPI number?

The NPI number for Jorge Prieto is 1942269931. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Jorge Prieto located?

Jorge Prieto practices at 1101 Chestnut St, Phila, PA 19107. The listed phone number is (215) 955-8900.

What is Jorge Prieto's specialty?

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

Is Jorge Prieto enrolled in Medicare?

Yes. Jorge 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.

Is Jorge Prieto affiliated with any hospitals?

According to CMS data, Jorge Prieto is affiliated with Inspira Medical Center Mullica Hill, Hospital Of Univ Of Pennsylvania, Thomas Jefferson University Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Jorge Prieto was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.