Medicare Enrolled

Dr. Enio Prieto, MD

Internal Medicine · Sebastian, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
13846 US HIGHWAY 1, Sebastian, FL 32958
7725811881
In practice since 2005 (20 years)
NPI: 1063498384 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Prieto from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Prieto

Dr. Enio Prieto is an internal medicine in Sebastian, FL, with 20 years in practice. Based on federal Medicare data, Dr. Prieto performed 6,212 Medicare services across 3,269 unique beneficiaries.

Between the years covered by Open Payments, Dr. Prieto received a total of $2,838 from 26 pharmaceutical and/or device companies across 133 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Prieto is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice▲ Top 6% volume in FL$ $2,838 industry payments

Medicare Practice Summary

Medicare Utilization ↗
6,212
Medicare services
Top 6% in FL for internal medicine
3,269
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~311 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Chronic care management, first 20 min/month1,394$48$75
Office visit, established patient (30-39 min)899$91$145
Chronic care management, additional 20 min/month860$36$60
Office visit, established patient (20-29 min)669$66$115
Annual wellness visit, follow-up494$131$250
Annual alcohol misuse screening, 5 to 15 minutes487$18$30
Drug injection, under skin or into muscle150$10$23
Office visit, established patient, complex (40-54 min)125$142$195
New patient office visit (45-59 min)110$114$225
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and99$42$80
Hospital follow-up visit, moderate complexity80$65$103
Remote patient monitoring device, 30 days80$40$75
Remote patient monitoring management, 20 min/month80$39$65
Home visit, established patient, moderate complexity62$104$150
Home visit, established patient, low complexity58$60$89
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit45$164$250
Telephone medical discussion with physician, 11-20 minutes43$66$145
Telephone medical discussion with physician, 21-30 minutes40$33$60
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a40$33$60
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)40$42$75
Hospital discharge management, 30+ min36$94$180
Electrocardiogram (EKG), 12-lead35$10$35
Hospital follow-up visit, high complexity34$97$180
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment29$16$30
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes28$113$170
Urinalysis, manual25$3$6
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional25$29$55
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes23$32$50
Transitional care management services for problem of at least moderate complexity22$165$225
Flu vaccine administration21$32$40
Flu vaccine, quadrivalent20$76$85
Injection, methylprednisolone acetate, 80 mg20$8$30
Transitional care management services for problem of high complexity14$224$300
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes13$129$240
Initial hospital admission, high complexity12$142$280
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,838
Total received (2018-2024)
Avg $405/year across 7 years
Top 21% in FL for internal medicine
26
Companies
133
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,512 (88.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$326 (11.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$736
2023
$560
2022
$294
2021
$55
2020
$91
2019
$333
2018
$769

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$417
Astellas Pharma US Inc
$365
PFIZER INC.
$335
Lilly USA, LLC
$256
AstraZeneca Pharmaceuticals LP
$244
GlaxoSmithKline, LLC.
$119
Endo Pharmaceuticals Inc.
$118
IDORSIA PHARMACEUTICALS US INC
$117
Janssen Pharmaceuticals, Inc
$102
Amgen Inc.
$92
ABBVIE INC.
$82
Novartis Pharmaceuticals Corporation
$73
E.R. Squibb & Sons, L.L.C.
$68
Corium, LLC
$51
Phathom Pharmaceuticals, Inc.
$51
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$46
Biohaven Pharmaceutical Holding Company Ltd.
$41
Boston Scientific Corporation
$36
Almatica Pharma LLC
$36
SANOFI-AVENTIS U.S. LLC
$35
Abbott Laboratories
$34
AbbVie Inc.
$26
Dexcom, Inc.
$25
Esperion Therapeutics, Inc.
$24
Exact Sciences Corporation
$23
Teva Pharmaceuticals USA, Inc.
$21
Top 3 companies account for 39.4% of total payments
Associated products mentioned in payments ›
ADLARITY · AREXVY · Adlarity · Austedo XR · Axium INS DRG IPG · BREZTRI · BYDUREON · CHANTIX · Cologuard Collection Kit · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · GRALISE · INVOKANA · JARDIANCE · LANTUS · LEQVIO · LOREEV XR · MOUNJARO · MYRBETRIQ · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PAXLOVID · QULIPTA · QUVIVIQ · Rybelsus · SHINGRIX · Superion Indirect Decompression System · TOUJEO · TRELEGY ELLIPTA · TRULICITY · Tresiba · VESICARE · VOQUEZNA · VRAYLAR · Veozah · Victoza · Wegovy · XARELTO · XIAFLEX · XIFAXAN
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (88%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $46 per 100 Medicare services performed
Looking for a internal medicine in Sebastian?
Compare internal medicines in the Sebastian area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal Medicines within 10 mi
232
Per 100K population
141.6
County median income
$71,049
Nearest hospital
ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Prieto is a clinical cardiology specialist, with above-average Medicare volume (top 6% in FL), and low-engagement industry engagement, with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Prieto experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Prieto performed 1,394 chronic care management, first 20 min/month services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Prieto receive payments from pharmaceutical companies?
Yes. Dr. Prieto received a total of $2,838 from 26 companies across 133 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Prieto's costs compare to other internal medicines in Sebastian?
Dr. Prieto's average Medicare payment per service is $64. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Prieto) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →