DR. EDGAR TORRES-ORTEZ M.D.
NPI 1114465234
Family Medicine in Paris, KY

Q: What is Edgar Torres-ortez's NPI number?

The NPI number for Edgar Torres-ortez is 1114465234. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Q: What is Edgar Torres-ortez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 09, 2017PECOS EnrolledAccepts Medicare Assignment

9 LINVILLE DR, PARIS, KY 40361(859) 987-3600 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2020, Mar 19, 2020, Feb 17, 2020 and 1 more (4 updates tracked since 2017).

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About Dr. Edgar Torres-ortez M.d. NPPES

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

DR. EDGAR TORRES-ORTEZ M.D. (NPI 1114465234) is an individual family medicine provider in Paris, Kentucky, licensed in Kentucky (53538) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1114465234

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. EDGAR TORRES-ORTEZCredential: M.D.

Location Address9 LINVILLE DRParis, KY 40361-2129

Mailing Address2151 Meeting St. Apt. 7107Lexington, KY 40509 · (859) 550-3278

Phone(859) 987-3600

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 9, 2017

Last NPPES UpdateJuly 27, 20204 updates tracked since enumeration

NPPES CertifiedJuly 27, 2020

✔ NPI 1114465234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in KY · 53538✔ Licensed in KY · TP934

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9 LINVILLE DR, Paris, KY 40361

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Secondary Practice Location 1

Location 1501 Madison AvenueScranton, PA 18510 · Phone (570) 343-2383

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

Dr. Edgar Torres-ortez 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 ID446515183

PECOS Enrollment IDI20200420002850

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 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.

74 services38 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.

71 services64 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.

62 services56 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

33 services16 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.

27 services27 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.

26 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Bourbon Community Hospital

Acute Care Hospitals · Paris, KY

5/5 CMS rating

OwnershipProprietary

CMS Certification Number180046

Location9 Linville DriveParis, KY 40361 · Bourbon County

Emergency services

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY

OwnershipProprietary

CMS Certification Number180101

Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40361 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims4,104 services$0.52 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier11 claims11 services$11.96 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers42 claims42 services$19.43 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$8.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier31 claims31 services$110.17 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 12

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

BOURBON COMMUNITY HOSPITAL LLC

Medicare Defined Swing Bed Unit

9 LINVILLE DR
PARIS, KY 40361

Bourbon County (859) 987-3600

BOURBON COMMUNITY HOSPITAL

Family Medicine

9 LINVILLE DR
PARIS, KY 40361

Bourbon County (859) 987-1018

DR. JULIA M HUBER MD

Emergency Medicine

9 LINVILLE DR
PARIS, KY 40361

Bourbon County (859) 987-3600

BOURBON COMMUNITY HOSPITAL LLC

General Acute Care Hospital (Rural)

9 LINVILLE DR
PARIS, KY 40361

Bourbon County (859) 987-3600

CHERYL M. MARX

Dietitian, Registered

9 LINVILLE DR
PARIS, KY 40361

Bourbon County (859) 987-3600

BOURBON COMMUNITY HOSPITAL LLC

Clinical Medical Laboratory

9 LINVILLE DR
PARIS, KY 40361

Bourbon County (859) 987-3600

SHRI VAISH PLLC

Psychiatry & Neurology (Psychiatry)

9 LINVILLE DR
PARIS, KY 40361

Bourbon County (999) 999-9999

ROBERT CASEY WILSON MD

Emergency Medicine

9 LINVILLE DR
PARIS, KY 40361

Bourbon County (859) 987-3600

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 Edgar Torres-ortez's NPI number?

The NPI number for Edgar Torres-ortez is 1114465234. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Edgar Torres-ortez located?

Edgar Torres-ortez practices at 9 Linville Dr, Paris, KY 40361. The listed phone number is (859) 987-3600.

What is Edgar Torres-ortez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edgar Torres-ortez enrolled in Medicare?

Yes. Edgar Torres-ortez 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 Edgar Torres-ortez affiliated with any hospitals?

According to CMS data, Edgar Torres-ortez is affiliated with Saint Joseph Hospital, Bourbon Community Hospital, University Of Kentucky Hospital and Georgetown Community Hospital.

When was this NPI record last updated?

The NPPES record for Edgar Torres-ortez was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.