Dr. David Prentiss, MD
47 Route 25a, Rocky Point, NY 11778 • +1-364-555-3812
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Rocky Point Percentiles
NPI #1407852940 • CBSA Regional • Family Practice
Anchored in Rocky Point, NY 11778, Dr. David Prentiss, MD (NPI 1407852940) logged 1,596 annual procedures (focused low-volume boutique caseload (0th Rocky Point percentile), 56.58th NY percentile, -0.23σ) with sub-specialty concentration in 57 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1407852940 highlights 654 annual claims for 99214 (12th Rocky Point percentile; $142–$195 self-pay corridor) plus 483 encounters under 99213 and 187 under G0439.
Self-pay new patient consultations with Dr. Prentiss (CPT 99204 GPCI-adjusted benchmark) estimate around $232.00 (community reported average: $232.00) with hybrid in-clinic and telehealth video consults, 9-minute average reception wait, and a 4.69/5 modern protocol openness score across 23 patient logs.
NPI registry verification (#1407852940) confirms Dr. David Prentiss's MD standing serving CBSA 11778 with a 4.60/5 patient scorecard.
Compared against Rocky Point, NY Family Practice peers
1,596 annual services across 896 beneficiaries
Standard deviations from NY Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 654 | 12th | $142 – $195 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 483 | 12th | $109 – $149 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 187 | 12th | $163 – $224 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 140 | 12th | $31 – $46 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 93 | 12th | $195 – $268 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (57 HCPCS billing breadth) | 38 | 0th | $128 – $186 |
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Dr. David Prentiss, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prentiss National Provider Identifier | NPI #1407852940 (MD) | CMS NPPES Registry (11778) |
| Dr. Prentiss Rocky Point CMS Volume Rank | 0.00th Pct (1,596 CMS svcs; Z -0.233σ) | CMS Medicare Part B (NY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rocky Point, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 9 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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