James Prieto, MD
NPI 1154580769ActiveIndividual· Colon & Rectal Surgery· San Antonio, TX
Colon & Rectal Surgery (MD) in San Antonio, Texas, trained at University of Miami, Lm Miller School of Medicine (class of 2003). In 2024 Medicare paid $104,519 for 168 patients, and Part D covered 585 of their prescriptions, 70% of them generic. Ethicon US, LLC was the largest of 7 companies reporting payments in 2025, $429.24 in all, mostly food and beverage.
Overview
| NPI | 1154580769 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jun 9, 2008 |
| Last updated in NPPES | Jul 5, 2022 |
| Certified by provider | Jul 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Colon & Rectal Surgery Primary | 208C00000X | N4001 | TX |
| Surgery | 208600000X | ME 101254 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Colorectal Surgery (Proctology) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 168 |
|---|---|
| Services billed | 555 across 73 procedure codes |
| Paid by Medicare | $104,519 |
Part D prescriptions in 2024
| Prescriptions (claims) | 585 · 730 30-day fills |
|---|---|
| Patients | 197 |
| Total drug cost | $80,018 |
| Generic share | 70% of claims |
Education and affiliations
| Medical school | University of Miami, Lm Miller School of Medicine |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Colorectal Surgery (Proctology) |
| Secondary specialties | General Surgery |
Medical group
- Methodist Physician Practices PLLCLive Oak, TX · 175 clinicians
Hospital affiliations
- Baptist Medical CenterSan Antonio, TX
- Methodist HospitalSan Antonio, TX
- Methodist Hospital Stone OakSan Antonio, TX
- Peterson Regional Medical CenterKerrville, TX
Industry payments (Open Payments)
- 2025$429.24 · 12 payments from 7 companies
- 2024$822.90 · 19 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ethicon US, LLC | $197.93 | 4 |
| Baxter Healthcare | $78.85 | 2 |
| Aroa Biosurgery Incorporated | $50.66 | 2 |
| Intuitive Surgical, Inc. | $39.13 | 1 |
| Davol Inc. | $24.75 | 1 |
What the 2025 payments were for
- Food and Beverage$429.24 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 28 colorectal surgeons in San Antonio · All colorectal surgeons in Texas