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EDGARDO RAFAEL ORTIZ FLORES M.D.
NPI 1184933996
Internal Medicine - Hematology & Oncology in Brunswick, ME

Active since September 28, 2010PECOS EnrolledAccepts Medicare Assignment
329 MAINE ST # E101, BRUNSWICK, ME 04011(207) 373-2266 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2025, Apr 11, 2024, Nov 3, 2021 and 3 more (6 updates tracked since 2016).

About Edgardo Rafael Ortiz Flores M.d. NPPES

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

EDGARDO RAFAEL ORTIZ FLORES M.D. (NPI 1184933996) is an individual hematology & oncology provider in Brunswick, Maine, licensed in Maine (28108) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1184933996
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameEDGARDO RAFAEL ORTIZ FLORESCredential: M.D.
Location Address329 MAINE ST # E101Brunswick, ME 04011-3310
Mailing Address329 Maine St # E101Brunswick, ME 04011-3310 · (207) 373-2266
Phone(207) 373-2266
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 28, 2010
Last NPPES UpdateMay 29, 20256 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1184933996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in ME · 28108✔ Licensed in PR · 22956✔ Licensed in HI · MD-24293✔ Licensed in CA · A144166
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
329 MAINE ST # E101, Brunswick, ME 04011
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Secondary Practice Locations 3

Location 11135 S Sunset Ave Ste 301West Covina, CA 91790 · Phone (626) 283-5183 · Fax (626) 214-1547
Location 211480 Brookshire Ave, Suite 309Downey, CA 90241-5025 · Phone (562) 869-1201 · Fax (562) 869-1281
Location 3700 Lilly Rd NEOlympia, WA 98506-5115 · Phone (360) 923-7000 · Fax (360) 923-7089

Other Identifiers 2

Other12779-IPR · State Medical License
Other4554906PR · State Driver's License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Edgardo Rafael Ortiz Flores 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 ID5395031033
PECOS Enrollment IDI20250226001053
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 2

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.
26 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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 Edgardo Ortiz Flores's NPI number?

The NPI number for Edgardo Ortiz Flores is 1184933996. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Where is Edgardo Ortiz Flores located?

Edgardo Ortiz Flores practices at 329 Maine St # E101, Brunswick, ME 04011. The listed phone number is (207) 373-2266.

What is Edgardo Ortiz Flores's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Edgardo Ortiz Flores enrolled in Medicare?

Yes. Edgardo Ortiz Flores 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 Edgardo Ortiz Flores accept?

Health plans from HMSA list Edgardo Ortiz Flores 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.

When was this NPI record last updated?

The NPPES record for Edgardo Ortiz Flores was last updated on May 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.