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CARLOS ORTEGA CEBALLO
NPI 1053845602
Internal Medicine in Elmira, NY

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment
81.01/100
CMS Quality Rating
810 LARCHMONT RD, ELMIRA, NY 14905(347) 664-0051 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2024, Apr 19, 2017 (2 updates tracked since 2017).

About Carlos Ortega Ceballo NPPES

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

CARLOS ORTEGA CEBALLO (NPI 1053845602) is an individual internal medicine provider in Elmira, New York, licensed in New York (311722) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with St James Mercy Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1053845602
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARLOS ORTEGA CEBALLO
Location Address810 LARCHMONT RDElmira, NY 14905-1219
Mailing Address810 Larchmont RdElmira, NY 14905-1219 · (347) 664-0051
Phone(347) 664-0051
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 19, 2017
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1053845602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 311722
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
810 LARCHMONT RD, Elmira, NY 14905
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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

Carlos Ortega Ceballo 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 ID2264830918
PECOS Enrollment IDI20211011000130, I20260805002709
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 Reassignments

5

Medicare enrollment records show Carlos Ortega Ceballo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Chautauqua Center, Inc
1.5 mi
Gynecology
1005 WALNUT ST
Elmira, NY 14901
  • Reassigned Medicare billing, New York enrollment
  • 63 clinicians in this Medicare group
NPI 1326817693 (716) 363-6050
Oak Orchard Community Health Center, Inc.
45 mi
Federally Qualified Health Center (FQHC)
7309 SENECA RD N STE 112
Hornell, NY 14843
  • Reassigned Medicare billing, New York enrollment
  • 57 clinicians in this Medicare group
NPI 1548647779 (607) 590-2424
Okemefuna Okpara MD Ny PLLC
178 mi
Surgery
41 FLATBUSH AVE # 210
Brooklyn, NY 11217
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1669359618 (213) 228-3538
Maimonides Faculty Practice Plan
179 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700
Medassist Nj II
194 mi
Geriatric Medicine
419 E COUNTY LINE RD
Lakewood, NJ 08701
  • Reassigned Medicare billing, New York enrollment
  • 31 clinicians in this Medicare group
NPI 1336928407 (917) 882-4536

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
204 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
89 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services32 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.
27 services27 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
22 services22 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14905 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

81.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.46
Promoting Interoperability99
Improvement Activities40
Cost65.75

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 Carlos Ortega Ceballo's NPI number?

The NPI number for Carlos Ortega Ceballo is 1053845602. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Carlos Ortega Ceballo located?

Carlos Ortega Ceballo practices at 810 Larchmont Rd, Elmira, NY 14905. The listed phone number is (347) 664-0051.

What is Carlos Ortega Ceballo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carlos Ortega Ceballo enrolled in Medicare?

Yes. Carlos Ortega Ceballo 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 organizations bill Medicare for Carlos Ortega Ceballo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Ortega Ceballo reassigns Medicare benefits to 5 organizations: The Chautauqua Center, Inc (Elmira, NY), Oak Orchard Community Health Center, Inc. (Hornell, NY), Okemefuna Okpara MD Ny PLLC (Brooklyn, NY), Maimonides Faculty Practice Plan (Brooklyn, NY) and Medassist Nj II (Lakewood, NJ). Each 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 Carlos Ortega Ceballo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carlos Ortega Ceballo affiliated with any hospitals?

According to CMS data, Carlos Ortega Ceballo is affiliated with St James Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Ortega Ceballo was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.