Dr. John Prior, DO
802 Jefferson Ave, Scranton, PA 18510 • +1-318-555-9728
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Scranton Percentiles
NPI #1053315085 • CBSA Regional • Nephrology
Operating out of Scranton, PA (802 Jefferson Ave), Nephrology clinician Dr. John Prior, DO (accredited MD/DO training, 2005) maintains a focused low-volume boutique caseload (25th Scranton percentile) (74.74th PA percentile; Z-score +0.30σ across 1,968 documented services) with sub-specialty concentration in 19 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1053315085 highlights 945 annual claims for 99214 (25th Scranton percentile; $193–$264 self-pay corridor) plus 433 encounters under 90960 and 354 under 99215.
At 802 Jefferson Ave (18510), Dr. John Prior, DO accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.63/5 bedside rating).
Spanning 21 years of clinical practice following 2005 graduation from medical training, Dr. John Prior integrates 19 Active CMS HCPCS Codes diagnostics for Scranton metro patients.
Compared against Scranton, PA Nephrology peers
1,968 annual services across 652 beneficiaries
Standard deviations from PA Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 945 | 25th | $193 – $264 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 433 | 30th | $386 – $529 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 354 | 21th | $281 – $386 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 236 | 29th | $265 – $364 |
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Dr. John Prior, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prior National Provider Identifier | NPI #1053315085 (DO) | CMS NPPES Registry (18510) |
| Dr. Prior Scranton CMS Volume Rank | 25.00th Pct (1,968 CMS svcs; Z +0.302σ) | CMS Medicare Part B (PA Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Scranton, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.63/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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