DR. LUIS ORTEGA MD
NPI 1124745351
Internal Medicine - Cardiovascular Disease in Jacksonville, FL

Active since October 27, 2022PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
655 WEST 8TH STREET, DIVISION OF CARDIOLOGY-ACC BUILDING 5TH FLOOR, JACKSONVILLE, FL 32209(904) 244-2655 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Luis Ortega Md NPPES

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

DR. LUIS ORTEGA MD (NPI 1124745351) is an individual cardiovascular disease provider in Jacksonville, Florida, licensed in Florida (MFC1866) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1124745351
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. LUIS ORTEGACredential: MD
Location Address655 WEST 8TH STREET, DIVISION OF CARDIOLOGY-ACC BUILDING 5TH FLOORJacksonville, FL 32209-6511
Mailing Address7800 Point Meadows Dr Apt 422Jacksonville, FL 32256-4613 · (904) 316-0981
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 27, 2022
NPPES CertifiedOctober 25, 2022
NPI 1124745351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · MFC1866
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
655 WEST 8TH STREET, Jacksonville, FL 32209

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

Dr. Luis 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 ID840667424
PECOS Enrollment IDI20221110003122
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 10

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.
181 services112 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
131 services93 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.
76 services75 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
48 services45 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
38 services38 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 8

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
655 WEST 8TH STREET
JACKSONVILLE, FL 32209
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
655 WEST 8TH STREET, SHANDS JACKSONVILLE DEPARTMENT OF PHARMACY
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
655 WEST 8TH STREET, CARDIOVASCULAR CENTER, 5TH FLOOR ACC, BOX C-35
JACKSONVILLE, FL 32209
Emergency Medicine
655 WEST 8TH STREET, UNIVERSITY OF FLORIDA, DEPARTMENT OF EMERGENCY MEDICINE
JACKSONVILLE, FL 32209
Pediatrics
655 WEST 8TH STREET
JACKSONVILLE, FL 32209
Physician Assistant (Medical)
655 WEST 8TH STREET
JACKSONVILLE, FL 32209
Pharmacist
655 WEST 8TH STREET, PHARMACY, #83
JACKSONVILLE, FL 32209
Pharmacist
655 WEST 8TH STREET, DEPARTMENT OF PHARMACY
JACKSONVILLE, FL 32209

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 Luis Ortega's NPI number?

The NPI number for Luis Ortega is 1124745351. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Luis Ortega located?

Luis Ortega practices at 655 West 8th Street Division Of Cardiology-Acc Building 5th Floor, Jacksonville, FL 32209. The listed phone number is (904) 244-2655.

What is Luis Ortega's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Luis Ortega enrolled in Medicare?

Yes. Luis 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 Luis Ortega accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Luis 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 Luis Ortega affiliated with any hospitals?

According to CMS data, Luis Ortega is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Luis Ortega was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.