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BRANDON ORTIZ M.D.
NPI 1225458359
Pediatrics in Houston, TX

Active since April 16, 2014PECOS EnrolledAccepts Medicare Assignment
1140 BUSINESS CENTER DR STE 201, HOUSTON, TX 77043(713) 960-8008 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Oct 18, 2022, Mar 21, 2020 and 1 more (4 updates tracked since 2019).

About Brandon Ortiz M.d. NPPES

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

BRANDON ORTIZ M.D. (NPI 1225458359) is an individual pediatrics provider in Houston, Texas, licensed in Texas (R5446) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225458359
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRANDON ORTIZCredential: M.D.
Location Address1140 BUSINESS CENTER DR STE 201Houston, TX 77043
Mailing Address909 Frostwood Dr Ste 1.100Houston, TX 77024-2301 · (713) 338-6353
Phone(713) 960-8008
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2014
Enumeration DateApril 16, 2014
Last NPPES UpdateSeptember 19, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1225458359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · R5446
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License R5446 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License R5446 (TX)
1140 BUSINESS CENTER DR STE 201, Houston, TX 77043
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16431 Fannin St, Suite MSB 1.134Houston, TX 77030-5389 · Phone (713) 500-6500 · Fax (713) 500-6530
Location 2921 Gessner Rd Rm 317Houston, TX 77024 · Phone (713) 338-6353

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company.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

Brandon Ortiz 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 ID941546519
PECOS Enrollment IDI20190118001015
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 5

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 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.
184 services96 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.
135 services72 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
61 services60 patients
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.
34 services25 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77043 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier22 claims22 services$41.69 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$33.67 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 supplier29 claims29 services$62.39 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$28.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

SARAH KAY TAYLOR FNP-BC
Nurse Practitioner (Family)
1140 BUSINESS CENTER DR STE 201
HOUSTON, TX 77043
Harris County (713) 932-5704
MADHURI GINJUPALLI M.D
Internal Medicine
1140 BUSINESS CENTER DR STE 201
HOUSTON, TX 77043
Harris County (713) 960-8008
DR. JAY HOON KANG D.O.
Emergency Medicine
1140 BUSINESS CENTER DR STE 201
HOUSTON, TX 77043
Harris County (844) 797-5685
ERIC MICHAEL BROWN MD
Emergency Medicine
1140 BUSINESS CENTER DR STE 201
HOUSTON, TX 77043
Harris County (713) 932-5757

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 Brandon Ortiz's NPI number?

The NPI number for Brandon Ortiz is 1225458359. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Brandon Ortiz located?

Brandon Ortiz practices at 1140 Business Center Dr Ste 201, Houston, TX 77043. The listed phone number is (713) 960-8008.

What is Brandon Ortiz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brandon Ortiz enrolled in Medicare?

Yes. Brandon Ortiz 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 Brandon Ortiz accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Brandon Ortiz 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 Brandon Ortiz affiliated with any hospitals?

According to CMS data, Brandon Ortiz is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Brandon Ortiz was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.