CANDICE E ORTIZ MD
NPI 1093814139
Radiology - Diagnostic Radiology in St Johnsbury, VT

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
92.05/100
CMS Quality Rating
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819(802) 748-7567 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 30, 2017 (2 updates tracked since 2017).

About Candice E Ortiz Md NPPES

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

CANDICE E ORTIZ MD (NPI 1093814139) is an individual diagnostic radiology provider in St Johnsbury, Vermont, licensed in Vermont (042-0009723) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Rutgers New Jersey Medical School (1993).

NPPES Registry Identity

NPI1093814139
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameCANDICE E ORTIZCredential: MD
Location Address1315 HOSPITAL DRSt Johnsbury, VT 05819-9210
Mailing AddressPo Box 1849Lewiston, ME 04241-1849 · (877) 845-2926 · Fax (207) 777-5363
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1993
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1093814139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in VT · 042-0009723
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 042-0009723 (VT)
1315 HOSPITAL DR, St Johnsbury, VT 05819

Other Identifiers 1

Medicaid0VN1813VT

Accepted Insurance

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

Candice E Ortiz Md 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 ID6709946379
PECOS Enrollment IDI20081201000175
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 80

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
399 services367 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
265 services220 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
263 services239 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
260 services260 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
260 services260 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
241 services205 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Cottage Hospital

Critical Access Hospitals · Woodsville, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301301
Location90 Swiftwater RdWoodsville, NH 03785 · Grafton County
Emergency services

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471303
Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County
Emergency services Birthing friendly

North Country Hospital And Health Center

Critical Access Hospitals · Newport, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471304
Location189 Prouty DriveNewport, VT 05855 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05819 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

92.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.89
Improvement Activities40

Reported Quality Measures

Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy
87%30 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 20

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

Social Worker (Clinical)
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
General Acute Care Hospital (Critical Access)
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Nurse Anesthetist, Certified Registered
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Advanced Practice Midwife
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Medicare Defined Swing Bed Unit
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Pediatrics
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Family Medicine
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Physician Assistant (Surgical)
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819

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 Candice Ortiz's NPI number?

The NPI number for Candice Ortiz is 1093814139. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Candice Ortiz located?

Candice Ortiz practices at 1315 Hospital Dr, St Johnsbury, VT 05819. The listed phone number is (802) 748-7567.

What is Candice Ortiz's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Candice Ortiz enrolled in Medicare?

Yes. Candice 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.

What insurance does Candice Ortiz accept?

Health plans from Anthem Blue Cross and Blue Shield list Candice Ortiz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Candice Ortiz affiliated with any hospitals?

According to CMS data, Candice Ortiz is affiliated with Mary Hitchcock Memorial Hospital, Cottage Hospital, Northeastern Vermont Regional Hospital and North Country Hospital And Health Center.

When was this NPI record last updated?

The NPPES record for Candice Ortiz was last updated on July 21, 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.