I never met him pre surgery. Had to see a "nurse practitioner", who was incompetent. Dr. Pieramici came in before the procedure. Spoke to him for a minute. I had already pre-arranged for this to be a "screening" colonoscopy procedure which is free, paid 100% by my insurance. This bad doctor charged me $240.00 by coding the procedure to my insurance incorrectly and they refused to correct this.