DR. KENNETH ORTEGA D.O.
NPI 1083648224
Orthopaedic Surgery in Utica, NY

Active since July 11, 2006PECOS Enrolled
1903 SUNSET AVE, UTICA, NY 13502(315) 797-1212(315) 797-1537 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenneth Ortega D.o. NPPES

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

DR. KENNETH ORTEGA D.O. (NPI 1083648224) is an individual orthopaedic surgery provider in Utica, New York, licensed in New York (163383-3) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083648224
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KENNETH ORTEGACredential: D.O.
Location Address1903 SUNSET AVEUtica, NY 13502-5617
Mailing Address1903 Sunset AveUtica, NY 13502-5617 · (315) 797-1212 · Fax (315) 797-1537
Fax(315) 797-1537
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083648224 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 · 163383-3
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.

1903 SUNSET AVE, Utica, NY 13502

Other Identifiers 3

Medicaid00920934NY
Medicare ID-Type UnspecifiedDD3921NY
Medicare UPINB42000NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kenneth Ortega D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
18%130 patients
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
22%23 patients
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
53%36 patients3/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
78%36 patients4/55-star benchmark: 99%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 112 patients
1%112 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
1903 SUNSET AVE
UTICA, NY 13502
Orthopaedic Surgery
1903 SUNSET AVE
UTICA, NY 13502
Orthopaedic Surgery
1903 SUNSET AVE
UTICA, NY 13502
1903 SUNSET AVE
UTICA, NY 13502
Physician Assistant (Surgical)
1903 SUNSET AVE
UTICA, NY 13502
Orthopaedic Surgery
1903 SUNSET AVE
UTICA, NY 13502
Physician Assistant
1903 SUNSET AVE
UTICA, NY 13502
Nurse Practitioner
1903 SUNSET AVE
UTICA, NY 13502

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 Kenneth Ortega's NPI number?

The NPI number for Kenneth Ortega is 1083648224. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Kenneth Ortega located?

Kenneth Ortega practices at 1903 Sunset Ave, Utica, NY 13502. The listed phone number is (315) 797-1212.

What is Kenneth Ortega's specialty?

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

Is Kenneth Ortega enrolled in Medicare?

Yes. Kenneth Ortega is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Ortega was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.