DR. VIOLA ORTIZ M.D.
NPI 1235104282
Specialist in Staten Island, NY

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
3589 HYLAN BLVD, STATEN ISLAND, NY 10308(718) 966-3700(718) 966-0433 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Viola Ortiz M.d. NPPES

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

DR. VIOLA ORTIZ M.D. (NPI 1235104282) is an individual specialist in Staten Island, New York, licensed in New York (164269) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of State University Of New York Downstate Medical Center (1984).

NPPES Registry Identity

NPI1235104282
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. VIOLA ORTIZCredential: M.D.
Location Address3589 HYLAN BLVDStaten Island, NY 10308-3513
Mailing Address3589 Hylan BlvdStaten Island, NY 10308-3513 · (718) 966-3700 · Fax (718) 966-0433
Fax(718) 966-0433
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1984
Enumeration DateFebruary 22, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1235104282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 164269
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3589 HYLAN BLVD, Staten Island, NY 10308

Other Identifiers 1

Medicaid01074088NY

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. Viola 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 ID1759307515
PECOS Enrollment IDI20051020000686
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 12

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.
582 services312 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
236 services29 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
232 services232 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.
227 services227 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
146 services146 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
108 services22 patients

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
94%481 patients5/55-star benchmark: 93%
Colorectal Cancer Screening
67%737 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
80%491 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%139 patients4/55-star benchmark: 91%
e-Prescribing
100%6,262 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
64%1,102 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%1,030 patients3/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
100%1,278 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers26 claims60 services$4.88 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$8.52 avg. paid by Medicare
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$13.90 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 3

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

Internal Medicine
3589 HYLAN BLVD
STATEN ISLAND, NY 10308
Internal Medicine (Geriatric Medicine)
3589 HYLAN BLVD
STATEN ISLAND, NY 10308
Internal Medicine (Addiction Medicine)
3589 HYLAN BLVD
STATEN ISLAND, NY 10308

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 Viola Ortiz's NPI number?

The NPI number for Viola Ortiz is 1235104282. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Viola Ortiz located?

Viola Ortiz practices at 3589 Hylan Blvd, Staten Island, NY 10308. The listed phone number is (718) 966-3700.

What is Viola Ortiz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Viola Ortiz enrolled in Medicare?

Yes. Viola 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.

Is Viola Ortiz affiliated with any hospitals?

According to CMS data, Viola Ortiz is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Viola Ortiz was last updated on March 7, 2023. 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.