ADAM JACOB ORTEGA PA-C
NPI 1114677739
Physician Assistant in Mcallen, TX

Active since March 26, 2022PECOS EnrolledAccepts Medicare Assignment
5201 N 10TH ST, MCALLEN, TX 78504(956) 631-5411(956) 631-7129 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adam Jacob Ortega Pa-c NPPES

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

ADAM JACOB ORTEGA PA-C (NPI 1114677739) is an individual physician assistant in Mcallen, Texas, licensed in Texas (PA15542) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Rio Grande Regional Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114677739
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameADAM JACOB ORTEGACredential: PA-C
Location Address5201 N 10TH STMcallen, TX 78504-2708
Mailing Address27141 Cemetery RdSan Benito, TX 78586-7354 · (956) 367-0246
Fax(956) 631-7129
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 26, 2022
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
NPI 1114677739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA15542
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5201 N 10TH ST, Mcallen, TX 78504

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

Adam Jacob Ortega Pa-c 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 ID2466830385
PECOS Enrollment IDI20220606002462
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 16

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.
208 services145 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
154 services72 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.
93 services79 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
78 services20 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
56 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients

Hospital Affiliations CMS Care Compare

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

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 7

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

Family Medicine
5201 N 10TH ST
MCALLEN, TX 78504
Nurse Practitioner (Family)
5201 N 10TH ST
MCALLEN, TX 78504
Physician Assistant
5201 N 10TH ST
MCALLEN, TX 78504
Family Medicine
5201 N 10TH ST
MCALLEN, TX 78504
Physician Assistant (Medical)
5201 N 10TH ST
MCALLEN, TX 78504
Physician Assistant
5201 N 10TH ST
MCALLEN, TX 78504
Clinical Medical Laboratory
5201 N 10TH ST
MCALLEN, TX 78504

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 Adam Ortega's NPI number?

The NPI number for Adam Ortega is 1114677739. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Adam Ortega located?

Adam Ortega practices at 5201 N 10th St, Mcallen, TX 78504. The listed phone number is (956) 631-5411.

What is Adam Ortega's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Adam Ortega enrolled in Medicare?

Yes. Adam 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.

What insurance does Adam Ortega accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Adam Ortega 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 Adam Ortega affiliated with any hospitals?

According to CMS data, Adam Ortega is affiliated with Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Adam Ortega was last updated on April 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.