Medicare Enrolled

Dr. Jose Prieto, D.O.

Internal Medicine · Winter Haven, FL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
500 E CENTRAL AVE, Winter Haven, FL 33880
8632931191
In practice since 2011 (14 years)
NPI: 1144509480 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 →
Are you Dr. Prieto? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Prieto

Dr. Jose Prieto is an internal medicine specialist in Winter Haven, FL, with 14 years of NPI registration. Based on federal Medicare data, Dr. Prieto performed 8,521 Medicare services across 4,610 unique beneficiaries.

Between the years covered by Open Payments, Dr. Prieto received a total of $8,417 from 39 pharmaceutical and/or device companies across 476 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.

✓ 14 years in practice ▲ Top 4% volume in FL $8,417 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Osteopathic Physician 12595 Clear March 31, 2028
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
8,521
Medicare services
Top 4% in FL for internal medicine
4,610
Unique beneficiaries
$24
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~609 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.

Procedure Volume Avg. paid Avg. submitted
Denosumab injection (Prolia/Xgeva) 1,800 $18 $39
Blood draw (venipuncture) 611 $8 $9
Complete blood count (CBC) with differential 556 $8 $16
Comprehensive metabolic blood panel 553 $10 $21
Hemoglobin A1c test (diabetes monitoring) 420 $10 $19
Office visit, established patient (30-39 min) 412 $84 $218
Office visit, established patient (20-29 min) 404 $60 $150
Thyroid stimulating hormone (TSH) test 387 $16 $34
Vitamin D level test 327 $29 $59
Vitamin B-12 level test 319 $15 $30
Annual wellness visit, follow-up 233 $125 $231
Lipid panel (cholesterol and triglycerides) 228 $13 $27
Drug injection, under skin or into muscle 173 $10 $42
Urine culture, bacterial identification 145 $8 $34
Automated urinalysis 136 $2 $4
Urinalysis with microscopic exam 129 $3 $6
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 118 $16 $45
Prothrombin time test (blood clotting) 111 $4 $9
Iron level test 104 $6 $13
Urinalysis using microscope 103 $3 $6
Ferritin level test (iron stores) 101 $13 $27
Annual depression screening 101 $18 $36
PSA test (prostate cancer screening) 70 $18 $37
Urine culture, bacterial colony count 63 $8 $34
Thyroid hormone, t3 measurement, total 50 $14 $28
Urine microalbumin test (kidney screening) 47 $6 $12
Creatinine test (kidney function) 47 $5 $10
Transitional care management services for problem of high complexity 46 $192 $487
Injection, ketorolac tromethamine, per 15 mg 46 $0 $1
Parathyroid hormone level test 43 $40 $83
Injection, methylprednisolone acetate, 40 mg 41 $5 $13
Electrocardiogram (EKG), 12-lead 39 $9 $51
Chest X-ray, 2 views 38 $23 $96
Transferrin (iron binding protein) level 38 $12 $26
Flu vaccine, high-dose 38 $72 $183
Flu vaccine administration 38 $18 $18
Uric acid level test 36 $4 $9
Sed rate test (inflammation marker) 35 $3 $5
Bone density scan (DEXA) 31 $36 $116
Screening mammography 30 $123 $373
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 and 30 $40 $107
3D screening mammography (tomosynthesis) 29 $51 $155
Free thyroxine (T4) test 27 $9 $18
Removal of impacted ear wax by washing 24 $9 $41
Prostate cancer screening; prostate specific antigen test (psa) 24 $19 $39
New patient office visit (45-59 min) 21 $78 $333
Testosterone (hormone) level, total 20 $25 $52
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 a 20 $32 $81
Blood creatinine level 18 $5 $10
Urea nitrogen level to assess kidney function, quantitative 18 $4 $8
Thyroxine (thyroid chemical), total 16 $7 $14
Thyroid hormone evaluation 16 $6 $13
X-ray of lower and sacral spine, minimum of 4 views 11 $36 $142
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 ↗
$8,417
Total received (2018-2024)
Avg $1,202/year across 7 years
Top 8% in FL for internal medicine
39
Companies
476
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
$8,417 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,454
2023
$1,598
2022
$1,222
2021
$1,163
2020
$1,027
2019
$964
2018
$989

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$835
PFIZER INC.
$795
Amgen Inc.
$770
Boehringer Ingelheim Pharmaceuticals, Inc.
$691
AstraZeneca Pharmaceuticals LP
$546
SANOFI-AVENTIS U.S. LLC
$520
Novo Nordisk Inc
$431
Novartis Pharmaceuticals Corporation
$366
Bayer Healthcare Pharmaceuticals Inc.
$317
Janssen Pharmaceuticals, Inc
$310
Lilly USA, LLC
$305
ABBVIE INC.
$277
Merck Sharp & Dohme Corporation
$266
Merck Sharp & Dohme LLC
$246
Bayer HealthCare Pharmaceuticals Inc.
$226
Esperion Therapeutics, Inc.
$169
Abbott Laboratories
$166
Astellas Pharma US Inc
$158
Daiichi Sankyo Inc.
$151
Kowa Pharmaceuticals America, Inc.
$142
Dexcom, Inc.
$133
Mylan Specialty L.P.
$90
Exact Sciences Corporation
$70
Otsuka America Pharmaceutical, Inc.
$69
Allergan Inc.
$61
Gilead Sciences, Inc.
$48
Global Blood Therapeutics, Inc.
$35
Circassia Pharmaceuticals Inc
$34
Allergan, Inc.
$22
Insmed, Inc.
$22
Sumitomo Pharma America, Inc.
$21
Amarin Pharma Inc.
$19
ITI, Inc.
$18
Phadia US Inc.
$17
Regeneron Healthcare Solutions, Inc.
$15
INOGEN, INC.
$14
E.R. Squibb & Sons, L.L.C.
$14
Biohaven Pharmaceutical Holding Company Ltd.
$14
ARBOR PHARMACEUTICALS, INC.
$13
Top 3 companies account for 28.5% of total payments
Associated products mentioned in payments ›
AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · AVYCAZ · Aimovig · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · BYSTOLIC · CAPLYTA · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · Cologuard Collection Kit · Descovy · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · EVKEEZA · Edarbi · FARXIGA · FREESTYLE LIBRE · GARDASIL · GEMTESA · INJECTAFER · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · NEXLETOL · NURTEC ODT · OFEV · OXBRYTA · Otezla · Ozempic · PNEUMOVAX 23 · PRADAXA · PREMARIN · PREVNAR 20 · Prolia · QULIPTA · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · TOUJEO · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tresiba · UBRELVY · VERQUVO · VESICARE · VRAYLAR · Vascepa · Veozah · Victoza · XARELTO · YUPELRI · Yupelri
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 8% for internal medicine in FL.

Equivalent to $99 per 100 Medicare services performed
Looking for an internal medicine specialist in Winter Haven?
Compare internal medicine physicians in the Winter Haven area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
274
Per 100K population
36.0
County median income
$63,644
Nearest hospital
WINTER HAVEN HOSPITAL
6.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/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 mixed practice specialist, with above-average Medicare volume (top 4% in FL), with low-engagement industry engagement in the top 8% of FL peers.

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 denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Prieto performed 1,800 denosumab injection (prolia/xgeva) 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 $8,417 from 39 companies across 476 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 medicine physicians in Winter Haven?
Dr. Prieto's average Medicare payment per service is $24. 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 →