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

Q: 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.

Q: What is Telisha Ortiz's specialty?

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

Q: 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 20 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.

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: October 18, 2026.

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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

Phone(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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Telisha Ortiz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vohra Post Acute Care Physicians Of The Northeast PA

7.9 mi

Family Medicine

28 GARRETT AVE STE 202
Bryn Mawr, PA 19010

Reassigned Medicare billing, Pennsylvania enrollment
39 clinicians in this Medicare group

NPI 1275969131 (877) 866-7123

Kane Wound Care LLC

34 mi

Internal Medicine

3626 ROUTE 1 N
Princeton, NJ 08540

Reassigned Medicare billing, Pennsylvania enrollment
22 clinicians in this Medicare group

NPI 1275869802 (609) 945-3611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

239 services139 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

216 services76 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

213 services88 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

183 services99 patients

Removal of tissue from wound, each additional 20.0 sq cm 97598

This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.

176 services18 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

117 services78 patients

Removal of bone, 20.0 sq cm or less 11044

The procedure involves the surgical removal of a section of bone, up to 20.0 square cm in size. This may be necessary due to various reasons such as injury, infection, or to treat a disease. The process aims to alleviate pain, enhance mobility, or prevent the spread of disease.

105 services38 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

96 services96 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

77 services65 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

61 services61 patients

Removal of bone, 20.0 sq cm or less 11044

42 services20 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

42 services19 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

33 services11 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

31 services31 patients

Fluorescence wound imaging for bacteria, first anatomic site 0598T

Fluorescence wound imaging for bacteria is a non-invasive procedure that helps identify bacteria in a wound. A special device emits a safe, light glow onto the wound. This light causes bacteria to fluoresce, or shine, making them visible. It aids in targeted treatment planning.

28 services21 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

24 services24 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

23 services15 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

12 services12 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

Quality

72.46

Promoting Interoperability

100

Improvement Activities

Cost

56.62

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