GERALD JAMES ORTIZ M.D.
NPI 1003805128
Orthopaedic Surgery in Amsterdam, NY

Q: What is Gerald Ortiz's NPI number?

The NPI number for Gerald Ortiz is 1003805128. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Q: What is Gerald Ortiz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Ortiz was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 October 20, 2005PECOS EnrolledAccepts Medicare Assignment

70.44/100

CMS Quality Rating

5010 STATE HIGHWAY 30 STE 205, AMSTERDAM, NY 12010(518) 843-2663(518) 842-4861 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Gerald James Ortiz M.d. NPPES

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

GERALD JAMES ORTIZ M.D. (NPI 1003805128) is an individual orthopaedic surgery provider in Amsterdam, New York, licensed in New York (198830-1) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of Js Weill Medical College, Cornell University (1989).

NPPES Registry Identity

NPI1003805128

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameGERALD JAMES ORTIZCredential: M.D.

Location Address5010 STATE HIGHWAY 30 STE 205Amsterdam, NY 12010-7532

Mailing Address5010 State Highway 30 Ste 205Amsterdam, NY 12010-7532 · (518) 843-2663 · Fax (518) 842-4861

Phone(518) 843-2663

Fax(518) 842-4861

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1989

Enumeration DateOctober 20, 2005

Last NPPES UpdateJuly 28, 2010

✔ NPI 1003805128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in NY · 198830-1

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

5010 STATE HIGHWAY 30 STE 205, Amsterdam, NY 12010

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF84277NY

Medicare ID-Type Unspecified54654DNY · Medicare Provider #

Medicaid01558158NY

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

Gerald James Ortiz 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 ID2769399435

PECOS Enrollment IDI20101129000077

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 Gerald Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fulton Montgomery Medical PC

0.1 mi

Orthopaedic Surgery

5010 STATE HIGHWAY 30 STE 205
Amsterdam, NY 12010

Reassigned Medicare billing, New York enrollment
5 clinicians in this Medicare group

NPI 1063235091 (518) 842-2663

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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

224 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

111 services74 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

52 services31 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

47 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services24 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services22 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

17 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services16 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

15 services12 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

14 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Limited removal of abnormal shoulder joint tissue using endoscope 29822

This procedure involves the use of a tiny camera, known as an endoscope, to examine and remove abnormal tissue in the shoulder joint. It's a minimally invasive method, which means it requires smaller incisions, reducing recovery time and discomfort.

11 services11 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330047

Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County

Emergency services Birthing friendly

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330276

Location99 East State StreetGloversville, NY 12078 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12010 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

61.86

Improvement Activities

Cost

35.67

Other Providers at the Same Location NPPES 3

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

FULTON MONTGOMERY MEDICAL PC

Orthopaedic Surgery

5010 STATE HIGHWAY 30 STE 205
AMSTERDAM, NY 12010

Montgomery County (518) 842-2663

ABIGAIL RUTH JOHNSON PA

Physician Assistant

5010 STATE HIGHWAY 30 STE 205
AMSTERDAM, NY 12010

Montgomery County (518) 842-2663

KEVEN J HUGHES

Physician Assistant

5010 STATE HIGHWAY 30 STE 205
AMSTERDAM, NY 12010

Montgomery County (518) 369-7066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Ortiz's NPI number?

The NPI number for Gerald Ortiz is 1003805128. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Gerald Ortiz located?

Gerald Ortiz practices at 5010 State Highway 30 Ste 205, Amsterdam, NY 12010. The listed phone number is (518) 843-2663.

What is Gerald Ortiz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Gerald Ortiz enrolled in Medicare?

Yes. Gerald Ortiz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gerald Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Ortiz reassigns Medicare benefits to Fulton Montgomery Medical PC (Amsterdam, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gerald Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gerald Ortiz affiliated with any hospitals?

According to CMS data, Gerald Ortiz is affiliated with St Mary's Healthcare and Nathan Littauer Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Ortiz was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.