Active NPI 1174625651 Individual Practitioner Male Practitioner

Dr. Todd V Prier , MD

Surgery • Binghamton, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Todd Prier, MD is a certified Surgery practicing in Binghamton, NY. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Prier delivers high-quality medical care to the local community at 169 RIVERSIDE DR.

Dr. Prier is affiliated with Rochester General Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

169 Riverside Dr
Acc Building

Binghamton, NY 139054246

Telephone 6073523550

Associated Practice Facility / Clinic

🏢 Advanced Radiology Services, Pllc Facility NPI 1548253446

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Binghamton, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -5.2 yrs vs City Avg

City Avg: 32.2 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Binghamton, NY (2269 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prier (27 Years) 27 Yrs

Binghamton Specialty Average (32.2 Years) 32.2 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	23	$64.72	$46.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$273.13	$158.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$170.00	$80.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$57.00	$57.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	13	$214.00	$63.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$115.00	$82.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$29.00	$29.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$153.67	$133.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	62	$57.00	$57.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$144.00	$134.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$89.00	$89.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$85.00	$82.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$29.00	$29.15
99284 Emergency department visit with moderate level of medical decision making	11	11	$295.00	$121.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	43	$57.00	$50.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$144.00	$128.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	15	$214.00	$64.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$89.00	$78.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$29.00	$25.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$85.00	$75.46
99284 Emergency department visit with moderate level of medical decision making	13	13	$295.00	$118.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	73	$135.83	$77.29
99213 Established patient office or other outpatient visit, typically 15 minutes	73	57	$68.10	$50.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	53	$214.68	$108.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	22	$214.00	$70.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$144.00	$126.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$29.00	$24.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	102	98	$221.87	$107.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	75	$149.67	$76.26
99213 Established patient office or other outpatient visit, typically 15 minutes	73	58	$86.93	$49.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	15	$222.52	$70.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	13	$187.00	$37.94
47562 Removal of gallbladder using an endoscope	16	16	$3490.75	$626.19
49505 Repair of groin hernia (5 years or older)	12	12	$1240.63	$496.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	58	$82.00	$49.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	55	$142.10	$76.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	60	$209.00	$107.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	25	$214.00	$68.62
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$311.00	$97.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	11	$176.00	$38.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$63.00	$24.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1369.70	$110.87

Medical Specialties & State Licenses

CMS Verified: 2021-03-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 248238

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4749394 (MI)

Medicaid State Provider ID

02984027 (NY)

Commercial Insurance / Payer ID Medicare Ins. #

RB8676 (NY)

Hospital & Practice Group Affiliations

Rochester General Hospital

1425 Portland Ave, Rochester, NY 146213001

Phone: 5859224000

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Eric Veilleux , MD

Surgery

NPI 1215340849

Doctor of Medicine (M.D.)

Sabri Sellaouti , AGNP-C

Nurse Practitioner

NPI 1528642634

Adult-Gerontology Nurse Practitioner (Certified)

Catherine Clark

Nurse Practitioner - Family

NPI 1619352655

Olivia Mcmahon , PA-C

Physician Assistant

NPI 1780507624

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2015

Registered at 169 RIVERSIDE DR, ACC BUILDING, BINGHAMTON, NY 139054246 (Tel: 6073523550)

📍

Updated Business Mailing Address April 14, 2015

Registered at 169 RIVERSIDE DR, ACC BUILDING, BINGHAMTON, NY 139054246 (Tel: 6073523550)

👤

Provider Name / Credentials Updated April 14, 2015

Recorded as TODD PRIER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2015

Surgery (License #248238 in NY)

🟢

Initial NPI Registration & Enumeration September 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Todd Prier. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174625651

Entity Type:

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

Enumeration Date: September 04, 2006

Last Update: March 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

169 Riverside Dr, Acc Building

Binghamton, NY 139054246

Phone: 6073523550

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.