1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Internal Medicine
  6. NPI Profile

RICARDO PRIETO M.D.
NPI 1962696088
Internal Medicine - Gastroenterology in Tampa, FL

Active since August 31, 2007PECOS EnrolledAccepts Medicare Assignment
14547 BRUCE B DOWNS BLVD, SUITE A, TAMPA, FL 33613(813) 280-7100(813) 355-5023 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ricardo Prieto M.d. NPPES

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

RICARDO PRIETO M.D. (NPI 1962696088) is an individual gastroenterology provider in Tampa, Florida, licensed in Florida (ME108251) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Tampa, and is a graduate of University Central Del Caribe Escuela De Medicina (2007).

NPPES Registry Identity

NPI1962696088
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRICARDO PRIETOCredential: M.D.
Location Address14547 BRUCE B DOWNS BLVD, SUITE ATampa, FL 33613-2709
Mailing Address38135 Market SqZephyrhills, FL 33542-7505 · (813) 528-4975
Phone(813) 280-7100
Fax(813) 355-5023
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2007
Enumeration DateAugust 31, 2007
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
✔ NPI 1962696088 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 FL · ME108251
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.
14547 BRUCE B DOWNS BLVD, Tampa, FL 33613
Open in Google Maps ↗

Other Identifiers 2

Medicaid003475200FL
OtherP01236889FL · R&r Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.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

Ricardo 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 ID7012195092
PECOS Enrollment IDI20110621000739
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

2

Medicare enrollment records show Ricardo Prieto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Medical Clinic LLC
20 mi
Clinic/Center
38135 MARKET SQUARE
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 451 clinicians in this Medicare group
NPI 1821055690 (813) 780-8440
Ohi West Medical Group II LLC
20 mi
General Practice
38135 MARKET SQUARE DR
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 467 clinicians in this Medicare group
NPI 1982381299 (813) 780-8774

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 9

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.
309 services207 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.
141 services135 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.
139 services138 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.
103 services100 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.
91 services79 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.
39 services39 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33613 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

KERRIANN HOYT CRNA
Nurse Anesthetist, Certified Registered
14547 BRUCE B DOWNS BLVD
TAMPA, FL 33613
Hillsborough County (813) 978-1494
STEPHEN RATERMAN M.D.
Orthopaedic Surgery
14547 BRUCE B DOWNS BLVD, SUITE C
TAMPA, FL 33613
Hillsborough County (813) 979-0440
NORTH PINELLAS ANESTHESIA ASSOCIATES, PA
Anesthesiology
14547 BRUCE B DOWNS BLVD
TAMPA, FL 33613
Hillsborough County (800) 437-2672
CAROL E ALSOBROOK CRNA
Nurse Anesthetist, Certified Registered
14547 BRUCE B DOWNS BLVD
TAMPA, FL 33613
Hillsborough County (813) 978-1494
DR. GEOFFREY ALAN CRONEN MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
14547 BRUCE B DOWNS BLVD, STE C
TAMPA, FL 33613
Hillsborough County (813) 979-0440
RODNEY B FERRELL CRNA
Nurse Anesthetist, Certified Registered
14547 BRUCE B DOWNS BLVD
TAMPA, FL 33613
Hillsborough County (813) 978-1494
FLORIDA MEDICAL CLINIC, LLC
Prosthetic/Orthotic Supplier
14547 BRUCE B DOWNS BLVD, SUITE C
TAMPA, FL 33613
Hillsborough County (813) 979-0440
CRH ANESTHESIA OF FLORIDA LLC
Nurse Anesthetist, Certified Registered
14547 BRUCE B DOWNS BLVD
TAMPA, FL 33613
Hillsborough County (813) 978-1494

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 Ricardo Prieto's NPI number?

The NPI number for Ricardo Prieto is 1962696088. It was assigned to this individual provider in the NPPES registry on August 31, 2007.

Where is Ricardo Prieto located?

Ricardo Prieto practices at 14547 Bruce B Downs Blvd Suite A, Tampa, FL 33613. The listed phone number is (813) 280-7100.

What is Ricardo Prieto's specialty?

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

Is Ricardo Prieto enrolled in Medicare?

Yes. Ricardo 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 organizations bill Medicare for Ricardo Prieto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Prieto reassigns Medicare benefits to 2 organizations: Florida Medical Clinic LLC (Zephyrhills, FL) and Ohi West Medical Group II LLC (Zephyrhills, FL). Each 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 Ricardo Prieto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricardo Prieto accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Ricardo 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 Ricardo Prieto affiliated with any hospitals?

According to CMS data, Ricardo Prieto is affiliated with Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Ricardo Prieto was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.