TELISHA ORTIZ M.D.
NPI 1306257001
Family Medicine in Blue Bell, PA

Active since May 15, 2014PECOS EnrolledAccepts Medicare Assignment
88.72/100
CMS Quality Rating
325 SENTRY PKWY E BLDG 5W, BLUE BELL, PA 19422(954) 399-4673 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Telisha Ortiz M.d. NPPES

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

TELISHA ORTIZ M.D. (NPI 1306257001) is an individual family medicine provider in Blue Bell, Pennsylvania, licensed in Pennsylvania (MD456019) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2012).

NPPES Registry Identity

NPI1306257001
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTELISHA ORTIZCredential: M.D.
Location Address325 SENTRY PKWY E BLDG 5WBlue Bell, PA 19422-2312
Mailing Address3601 Sw 160th Ave Ste 250Miramar, FL 33027-6314 · (954) 399-4673
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2012
Enumeration DateMay 15, 2014
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1306257001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD456019
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.
Also ListedSurgeryTaxonomy 208600000X · License MD456019 (PA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License MD456019 (PA)
325 SENTRY PKWY E BLDG 5W, Blue Bell, PA 19422

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

Telisha 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 ID1153748587
PECOS Enrollment IDI20200901000154
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 24

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.

Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
465 services110 patients
Therapy procedure using ultrasound 97610
Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.
425 services132 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
358 services132 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
344 services164 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
325 services112 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
249 services155 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19422 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

88.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.46
Promoting Interoperability100
Improvement Activities40
Cost56.62

Referred Medical Equipment & Supplies CMS DME claims 8

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

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier42 claims1,207 services$20.23 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier92 claims3,056 services$7.11 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier58 claims766 services$9.37 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier90 claims2,672 services$0.91 avg. paid by Medicare
Hydrogel dressing, wound filler, gel, per fluid ounce A6248
DME-Medical/Surgical Supplies · category DA023N
1 supplier28 claims129 services$15.81 avg. paid by Medicare
Transparent film, sterile, 16 sq. in. or less, each dressing A6257
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims257 services$1.50 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.

Surgery
325 SENTRY PKWY E BLDG 5W
BLUE BELL, PA 19422
Surgery
325 SENTRY PKWY E BLDG 5W
BLUE BELL, PA 19422
Family Medicine
325 SENTRY PKWY E BLDG 5W
BLUE BELL, PA 19422
Home Health
325 SENTRY PKWY E BLDG 5W
BLUE BELL, PA 19422

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 Telisha Ortiz's NPI number?

The NPI number for Telisha Ortiz is 1306257001. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Telisha Ortiz located?

Telisha Ortiz practices at 325 Sentry Pkwy E Bldg 5W, Blue Bell, PA 19422. The listed phone number is (954) 399-4673.

What is Telisha Ortiz's specialty?

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

Is Telisha Ortiz enrolled in Medicare?

Yes. Telisha 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.

When was this NPI record last updated?

The NPPES record for Telisha Ortiz was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.