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G MICHAEL ORTIZ M.D.
NPI 1023068640
Urology in Saratoga Springs, NY

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
65.44/100
CMS Quality Rating
19 WEST AVE, SUITE 103, SARATOGA SPRINGS, NY 12866(518) 583-0111(518) 583-2426 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About G Michael Ortiz M.d. NPPES

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

G MICHAEL ORTIZ M.D. (NPI 1023068640) is an individual urology provider in Saratoga Springs, New York, licensed in New York (195818-3) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of State University Of Ny Upstate Medical University (1989).

NPPES Registry Identity

NPI1023068640
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameG MICHAEL ORTIZCredential: M.D.
Location Address19 WEST AVE, SUITE 103Saratoga Springs, NY 12866-6049
Mailing Address19 West Ave, Suite 103Saratoga Springs, NY 12866-6049 · (518) 583-0111 · Fax (518) 583-2426
Phone(518) 583-0111
Fax(518) 583-2426
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1989
Enumeration DateMay 12, 2006
Last NPPES UpdateApril 1, 2019
✔ NPI 1023068640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 195818-3
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
19 WEST AVE, Saratoga Springs, NY 12866
Open in Google Maps ↗

Other Identifiers 8

Other929454NY · Ghi Hmo
Medicaid01492488NY
OtherP00291581NY · Railroad Medicare
OtherG004S24710NY · Empire Bcbs
Other10001523NY · Capital District Physicia
Other1099054NY · Ghi Ppo
Other000434014010NY · Blue Shield Of Northeaste
Other24118NY · Mohawk Valley Physicians

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

G Michael 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 ID9032240114
PECOS Enrollment IDI20100707000046
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.

Areas of Expertise CMS Part B claims 9

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.

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.
289 services260 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.
145 services137 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
66 services57 patients
Simple bladder irrigation and/or instillation 51700
Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.
33 services28 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
28 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients

Hospital Affiliations CMS Care Compare 5

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12866 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

65.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.37
Improvement Activities40
Cost64.8

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
4 suppliers21 claims4,160 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers31 claims5,270 services$1.54 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers24 claims3,267 services$6.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

JOHN M GOLD MD
Urology
19 WEST AVE
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-0111
SAMUEL S CALDWELL, MD
Orthopaedic Surgery
19 WEST AVE, STE 102
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 584-0295
KATHERINE SANDBACH MCMAHON PA-C
Physician Assistant
19 WEST AVE, SUITE 101
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 693-4635
DR. NUMAN TARIQ RASHID M.D.
Internal Medicine (Critical Care Medicine)
19 WEST AVE
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 886-7980
DR. SETH A. CAPELLO M.D.
Urology
19 WEST AVE, SUITE 103
SARATOGA SPGS, NY 12866
Saratoga County (518) 583-0111
ANGELA GRACE CONDY MD
Family Medicine
19 WEST AVE, SUITE101
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-3438
SAMUEL SMITH CALDWELL M.D.
Orthopaedic Surgery
19 WEST AVE, SUITE 102
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 584-0295
MEGHAN MJ PROMNITZ FNP
Nurse Practitioner (Family)
19 WEST AVE, SUITE 103
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-0111

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 G Michael Ortiz's NPI number?

The NPI number for G Michael Ortiz is 1023068640. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is G Michael Ortiz located?

G Michael Ortiz practices at 19 West Ave Suite 103, Saratoga Springs, NY 12866. The listed phone number is (518) 583-0111.

What is G Michael Ortiz's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is G Michael Ortiz enrolled in Medicare?

Yes. G Michael 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.

Is G Michael Ortiz affiliated with any hospitals?

According to CMS data, G Michael Ortiz is affiliated with St Mary's Healthcare, St Peter's Hospital, Ellis Hospital, Glens Falls Hospital and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for G Michael Ortiz was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.