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MR. TULIO R. ORTEGA MD
NPI 1114013364
Psychiatry & Neurology - Psychiatry in Rochester, NY

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
1597 W. RIDGE RD., SUITE 302, ROCHESTER, NY 14615(585) 730-6115(585) 730-6112 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Tulio R. Ortega Md NPPES

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

MR. TULIO R. ORTEGA MD (NPI 1114013364) is an individual psychiatry provider in Rochester, New York, licensed in New York (185212) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Medina Memorial Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1114013364
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMR. TULIO R. ORTEGACredential: MD
Location Address1597 W. RIDGE RD., SUITE 302Rochester, NY 14615
Mailing Address1597 W. Ridge Rd., Suite 302Rochester, NY 14615 · (585) 730-6115 · Fax (585) 730-6112
Phone(585) 730-6115
Fax(585) 730-6112
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 10, 2012
✔ NPI 1114013364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 185212
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1597 W. RIDGE RD., Rochester, NY 14615
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Other Identifiers 5

Other3161Blue Shield
OtherMDA096Preferred Care
Medicaid01505884NY
Medicare UPINF36322
OtherP010185212Excellus

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

Mr. Tulio R. Ortega 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 ID2860592532
PECOS Enrollment IDI20070710000779
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 Tulio Ortega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orleans County Department Of Mental Health
28 mi
Clinic/Center
14014 STATE ROUTE 31
Albion, NY 14411
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Orleans County Treasurer Office
  • 15 clinicians in this Medicare group
NPI 1043345713 (585) 589-7066

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 3

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.
226 services64 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.
104 services39 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
32 services16 patients

Hospital Affiliations CMS Care Compare

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

Medina Memorial Hospital

Critical Access Hospitals · Medina, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331319
Location200 Ohio StreetMedina, NY 14103 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14615 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
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.

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 Tulio Ortega's NPI number?

The NPI number for Tulio Ortega is 1114013364. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Tulio Ortega located?

Tulio Ortega practices at 1597 W. Ridge Rd. Suite 302, Rochester, NY 14615. The listed phone number is (585) 730-6115.

What is Tulio Ortega's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Tulio Ortega enrolled in Medicare?

Yes. Tulio Ortega 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 Tulio Ortega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tulio Ortega reassigns Medicare benefits to Orleans County Department Of Mental Health (Albion, 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 Tulio Ortega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tulio Ortega affiliated with any hospitals?

According to CMS data, Tulio Ortega is affiliated with Medina Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tulio Ortega was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.