Active NPI 1285613315 Individual Practitioner Male Practitioner

Dr. John Edward Prioleau , MD

Hospitalist • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Prioleau, MD is a certified Hospitalist practicing in St Augustine, FL. With approximately 24 years of clinical experience since graduating from Boston University School Of Medicine in 2002, Dr. Prioleau delivers high-quality medical care to the local community at 400 HEALTH PARK BLVD STE 300.

Dr. Prioleau is affiliated with Sound Physicians Of Florida Vi Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Health Park Blvd Ste 300

St Augustine, FL 320865784

Telephone 9048194082

Fax 9048195056

Associated Practice Facility / Clinic

🏢 First City Hospitalists Group Pllc Facility NPI 1003053695

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in St Augustine, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +1.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 19.0 Yrs

Regional Practice Density

4 Specialists

Practicing in St Augustine, FL (1826 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prioleau (24 Years) 24 Yrs

St Augustine Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	123	122	$1389.00	$168.83
99239 Hospital discharge day management, more than 30 minutes	51	50	$737.00	$111.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	36	$718.00	$115.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$1404.78	$201.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$949.86	$137.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$1439.50	$203.28
G0180 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	18	16	$70.00	$52.99
99220 Hospital observation care, typically 70 minutes	17	17	$1318.91	$184.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$450.00	$207.74
G0180 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	27	27	$70.00	$53.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0180 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	57	51	$70.00	$52.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	15	$246.00	$104.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	12	$173.00	$73.37
99239 Hospital discharge day management, more than 30 minutes	15	15	$251.00	$107.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	24	$258.60	$104.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	24	$182.00	$73.27
G0180 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	23	22	$135.00	$53.12
G0180 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	22	21	$70.00	$53.12
99239 Hospital discharge day management, more than 30 minutes	21	21	$270.33	$107.82
99217 Hospital observation care on day of discharge	15	14	$180.80	$73.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	205	133	$146.22	$72.25
99239 Hospital discharge day management, more than 30 minutes	101	99	$217.45	$107.20
G0180 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	66	61	$110.45	$53.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	34	$228.11	$104.59
99217 Hospital observation care on day of discharge	31	31	$155.97	$72.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$430.56	$203.34

Medical Specialties & State Licenses

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License FL ME94505

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Specialist

NUCC Taxonomy Code: 174400000X

State License FL ME94505

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License FL ME94505

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

P00715723 (FL)

Commercial Insurance / Payer ID Cigna

1776587 (FL)

Commercial Insurance / Payer ID Fl Blue

30942 (FL)

Hospital & Practice Group Affiliations

Sound Physicians Of Florida Vi Llc

400 Health Park Blvd, St Augustine, FL 320865784

Phone: 9048195155

Sound Physicians Of Florida Vi Llc

655 W 8th St, Jacksonville, FL 322096511

Phone: 9042443850

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Eva Villanueva , MD

Family Medicine

NPI 1063829927

Doctor of Medicine (M.D.)

Dr. Jerome Tuitt , MD

Internal Medicine

NPI 1295197366

Doctor of Medicine (M.D.)

Shadi Ayyoub

Hospitalist

NPI 1477674232

Dr. Kumait Jaroje , MD

Internal Medicine

NPI 1649523713

Doctor of Medicine (M.D.)

Dr. Sebastian Strom , MD

Internal Medicine

NPI 1689737827

Doctor of Medicine (M.D.)

Dr. Justin Sager , DO

Hospitalist

NPI 1730524133

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active September 29, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 29, 2017

Registered at 400 HEALTH PARK BLVD STE 300, ST AUGUSTINE, FL 320865784 (Tel: 9048194082)

📍

Updated Business Mailing Address September 29, 2017

Registered at PO BOX 3123, ST AUGUSTINE, FL 320853123 (Tel: 9048194082)

👤

Provider Name / Credentials Updated September 29, 2017

Recorded as JOHN PRIOLEAU, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2017

Specialist (License #ME94505 in FL)

✅

NPI Profile Active February 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2015

Registered at 400 HEALTH PARK BLVD, 3RD FLOOR, ST AUGUSTINE, FL 320865784 (Tel: 9048194082)

📍

Updated Business Mailing Address February 04, 2015

Registered at PO BOX 919273, ORLANDO, FL 328919273 (Tel: 9048194082)

👤

Provider Name / Credentials Updated February 04, 2015

Recorded as JOHN PRIOLEAU, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2015

Specialist (License #ME94505 in FL)

🟢

Initial NPI Registration & Enumeration January 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285613315

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 17, 2006

Last Update: September 29, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3123

St Augustine, FL 320853123

Phone: 9048194082

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.