DR. JOSEPH MANUEL ORTIZ M.D.
NPI 1235126624
Ophthalmology in Media, PA

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
93.8/100
CMS Quality Rating
1098 W BALTIMORE PIKE, SUITE 3302, MEDIA, PA 19063(610) 565-6780(610) 565-9390 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2021, Jan 18, 2017 (2 updates tracked since 2017).

About Dr. Joseph Manuel Ortiz M.d. NPPES

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

DR. JOSEPH MANUEL ORTIZ M.D. (NPI 1235126624) is an individual ophthalmology provider in Media, Pennsylvania, licensed in Pennsylvania (MD024259E) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1976).

NPPES Registry Identity

NPI1235126624
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOSEPH MANUEL ORTIZCredential: M.D.
Location Address1098 W BALTIMORE PIKE, SUITE 3302Media, PA 19063-5139
Mailing Address1098 W Baltimore Pike, Suite 3302Media, PA 19063-5139 · (610) 565-6780 · Fax (610) 565-9390
Fax(610) 565-9390
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1976
Enumeration DateSeptember 30, 2005
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
NPI 1235126624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD024259E Licensed in DE · C1-0007806
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1098 W BALTIMORE PIKE, Media, PA 19063

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. Joseph Manuel 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 ID4284653759
PECOS Enrollment IDI20051114000851
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 15

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.
591 services283 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
329 services259 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
248 services217 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
217 services210 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
173 services128 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
139 services100 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19063 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

93.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost79.34

Other Providers at the Same Location NPPES 20

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

Advanced Practice Midwife
1098 W BALTIMORE PIKE, SUITE 3106 RHC 3
MEDIA, PA 19063
Physical Medicine & Rehabilitation
1098 W BALTIMORE PIKE
MEDIA, PA 19063
Internal Medicine
1098 W BALTIMORE PIKE, SUITE 3311
MEDIA, PA 19063
Family Medicine
1098 W BALTIMORE PIKE, SUITE 3101
MEDIA, PA 19063
Plastic Surgery
1098 W BALTIMORE PIKE, SUITE 3306
MEDIA, PA 19063
Specialist/Technologist (Athletic Trainer)
1098 W BALTIMORE PIKE
MEDIA, PA 19063
Clinic/Center (Primary Care)
1098 W BALTIMORE PIKE, RMH OPP STE 3304
MEDIA, PA 19063
Pharmacist (Critical Care)
1098 W BALTIMORE PIKE
MEDIA, PA 19063

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 Joseph Ortiz's NPI number?

The NPI number for Joseph Ortiz is 1235126624. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Joseph Ortiz located?

Joseph Ortiz practices at 1098 W Baltimore Pike Suite 3302, Media, PA 19063. The listed phone number is (610) 565-6780.

What is Joseph Ortiz's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Joseph Ortiz enrolled in Medicare?

Yes. Joseph 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 Joseph Ortiz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Joseph 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.

When was this NPI record last updated?

The NPPES record for Joseph Ortiz was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.