GILBERT ORTEGA M.D.
NPI 1003349242
Internal Medicine - Allergy & Immunology in Peoria, AZ

Q: What is Gilbert Ortega's NPI number?

The NPI number for Gilbert Ortega is 1003349242. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Q: What is Gilbert Ortega's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Q: When was this NPI record last updated?

The NPPES record for Gilbert Ortega was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment

13965 N 75TH AVE, PEORIA, AZ 85381(602) 734-0252 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Gilbert Ortega M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GILBERT ORTEGA M.D. (NPI 1003349242) is an individual allergy & immunology provider in Peoria, Arizona, licensed in Arizona (64715) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Arizona College Of Medicine (2017).

NPPES Registry Identity

NPI1003349242

Entity TypeIndividualMale

Primary Taxonomy207RA0201X

Provider Legal NameGILBERT ORTEGACredential: M.D.

Location Address13965 N 75TH AVEPeoria, AZ 85381-6097

Mailing Address13965 N 75th AvePeoria, AZ 85381-6097 · (602) 734-0252

Phone(602) 734-0252

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2017

Enumeration DateApril 5, 2017

Last NPPES UpdateJune 27, 2022

NPPES CertifiedJune 16, 2022

✔ NPI 1003349242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0201X

Licenses✔ Licensed in AZ · 64715✔ Licensed in AZ · R76009

Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

Also ListedInternal MedicineTaxonomy 207R00000X · License R76009 (AZ)

13965 N 75TH AVE, Peoria, AZ 85381

Open in Google Maps ↗

Secondary Practice Locations 2

Location 15323 Harry Hines BlvdDallas, TX 75390-8859 · Phone (214) 648-6601

Location 21501 N Campbell AveTucson, AZ 85724-0001 · Phone (520) 626-8818

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gilbert Ortega M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527319326

PECOS Enrollment IDI20220615000967

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gilbert Ortega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arizona Asthma Allergy Legacy Plc

Same address

Allergy & Immunology

13965 N 75TH AVE
Peoria, AZ 85381

Reassigned Medicare billing, Arizona enrollment
9 clinicians in this Medicare group

NPI 1922762699 (602) 843-2991

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

7,945 services106 patients

Test for allergy using skin patch 95044

A skin patch test helps identify allergens causing skin reactions. Small patches with potential allergens are applied to your skin, usually on the back. After 48 hours, they are removed to check for reactions. It's a safe and effective way to diagnose allergies.

1,265 services19 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

1,069 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

284 services154 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

143 services85 patients

Test for allergy using allergenic extract injected into skin 95024

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

120 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE ENGLERT PA-C

Physician Assistant (Medical)