1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Family Medicine
  6. NPI Profile

ANDREW P. ORTEGA M.D.
NPI 1225003122
Family Medicine in San Antonio, TX

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
902 BANDERA RD, SAN ANTONIO, TX 78228(210) 431-4503(210) 431-4531 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew P. Ortega M.d. NPPES

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

ANDREW P. ORTEGA M.D. (NPI 1225003122) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (J1474) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1990).

NPPES Registry Identity

NPI1225003122
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW P. ORTEGACredential: M.D.
Location Address902 BANDERA RDSan Antonio, TX 78228-4923
Mailing Address720 Pleasanton RdSan Antonio, TX 78214-1306 · (210) 921-3800 · Fax (210) 921-6620
Phone(210) 431-4503
Fax(210) 431-4531
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1990
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJanuary 13, 2015
✔ NPI 1225003122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J1474
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.
902 BANDERA RD, San Antonio, TX 78228
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINF63016TX
Medicare PIN8082M6TX
Other080180909TX · Rr Medicare
Medicaid101522404TX

Accepted Insurance

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

Andrew P. Ortega 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 ID1557403391
PECOS Enrollment IDI20100116000393
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 4

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.
104 services73 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
29 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78228 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 15

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

GMG HEALTH SYSTEMS ASSOCIATES, PA
Durable Medical Equipment & Medical Supplies
902 BANDERA RD
SAN ANTONIO, TX 78228
Bexar County (210) 921-3800
MELISSA DELAFUENTE GONZALEZ NP
Nurse Practitioner (Family)
902 BANDERA RD
SAN ANTONIO, TX 78228
Bexar County (210) 431-4503
MR. SCOTT ERIC HUDNALL RN, MSN, FNP-C
Nurse Practitioner (Family)
902 BANDERA RD
SAN ANTONIO, TX 78228
Bexar County (210) 431-4503
MELISSA MARIE SEDILLO FNP
Nurse Practitioner (Family)
902 BANDERA RD
SAN ANTONIO, TX 78228
Bexar County (210) 921-3800
CELSO VILLAGRAN FNP
Nurse Practitioner (Family)
902 BANDERA RD
SAN ANTONIO, TX 78228
Bexar County (210) 431-4503
GINA M ESPARZA MD
Family Medicine
902 BANDERA RD
SAN ANTONIO, TX 78228
Bexar County (210) 431-4503
DR. ALEJANDRO LERMA M.D.
Family Medicine
902 BANDERA RD
SAN ANTONIO, TX 78228
Bexar County (210) 431-4503
JULLY M SANCHEZ MD
Internal Medicine
902 BANDERA RD
SAN ANTONIO, TX 78228
Bexar County (210) 431-4503

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 Andrew Ortega's NPI number?

The NPI number for Andrew Ortega is 1225003122. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Andrew Ortega located?

Andrew Ortega practices at 902 Bandera Rd, San Antonio, TX 78228. The listed phone number is (210) 431-4503.

What is Andrew Ortega's specialty?

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

Is Andrew Ortega enrolled in Medicare?

Yes. Andrew 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 Andrew Ortega accept?

Health plans from UnitedHealthcare list Andrew 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.

When was this NPI record last updated?

The NPPES record for Andrew Ortega was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.