JULIO R ORTIZ MD
NPI 1366590101
Ophthalmology in Miami, FL

Q: What is Julio Ortiz's NPI number?

The NPI number for Julio Ortiz is 1366590101. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Julio Ortiz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Julio Ortiz was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

11760 SW 40TH ST, STE 120, MIAMI, FL 33175(305) 220-2626(305) 220-2082 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Julio R Ortiz Md NPPES

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

JULIO R ORTIZ MD (NPI 1366590101) is an individual ophthalmology provider in Miami, Florida, licensed in Florida (ME57741) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1985).

NPPES Registry Identity

NPI1366590101

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJULIO R ORTIZCredential: MD

Location Address11760 SW 40TH ST, STE 120Miami, FL 33175-3582

Mailing Address11760 Sw 40th St, Ste 120Miami, FL 33175-3582 · (305) 220-2626 · Fax (305) 220-2082

Phone(305) 220-2626

Fax(305) 220-2082

Sole ProprietorYes

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1985

Enumeration DateJanuary 8, 2007

Last NPPES UpdateJuly 16, 2010

✔ NPI 1366590101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME57741

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.

11760 SW 40TH ST, Miami, FL 33175

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Other Identifiers 5

Medicaid052254601FL

Medicare PIN11923FL

Medicare PIN11923AFL

Medicare UPINE67508FL

Medicaid052254600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).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

Julio R Ortiz Md 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 ID4981730546

PECOS Enrollment IDI20100407000567

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 14

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.

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.

707 services433 patients

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.

692 services404 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.

691 services420 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.

618 services384 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).

585 services400 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.

274 services159 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

178 services117 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

38 services33 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

32 services22 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

31 services29 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

29 services20 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

23 services19 patients

Removal of eyelashes using forceps 67820

The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.

15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

South Miami Hospital

Acute Care Hospitals · South Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100154

Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County

Emergency services Birthing friendly

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100209

Location11750 Bird RdMiami, FL 33175 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

99.03

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

100%73 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

98%2,296 patients4/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%329 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 772 patients

Patients totalRate: 0% · 772 patients

0%772 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 4

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

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier11 claims11 services$67.21 avg. paid by Medicare

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier11 claims18 services$58.40 avg. paid by Medicare

Anti-reflective coating, per lens V2750

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier11 claims22 services$21.22 avg. paid by Medicare

Lens, polycarbonate or equal, any index, per lens V2784

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier11 claims22 services$35.71 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 20

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

DR. ASCENSION M TORRES M.D.

Surgery (Pediatric Surgery)

11760 SW 40TH ST, SUITE 722
MIAMI, FL 33175

Miami-Dade County (305) 559-1883

ROLANDO E LACAYO MD PA

Specialist

11760 SW 40TH ST, SUITE 311
MIAMI, FL 33175

Miami-Dade County (305) 553-1253

JULIO HENRY ACOSTA AGACNP

Nurse Practitioner (Acute Care)

11760 SW 40TH ST
MIAMI, FL 33175

Miami-Dade County (786) 863-0547

DR. FRANK DEPENA MD

Internal Medicine

11760 SW 40TH ST, SUITE 701
MIAMI, FL 33175

Miami-Dade County (305) 227-9339

TOMAS I MARIMON M.D.

Specialist

11760 SW 40TH ST, SUITE #518
MIAMI, FL 33175

Miami-Dade County (305) 553-2888

LORENZO J. NEGRET M.D. P.A.

Family Medicine

11760 SW 40TH ST, SUITE 433
MIAMI, FL 33175

Miami-Dade County (305) 223-9815

DR. LORENZO JOSE NEGRET M.D.

Family Medicine

11760 SW 40TH ST, STE 433
MIAMI, FL 33175

Miami-Dade County (305) 223-9815

JACK MAREK KLEM, MD PA

Neurological Surgery

11760 SW 40TH ST
MIAMI, FL 33175

Miami-Dade County (305) 223-3000

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 Julio Ortiz's NPI number?

The NPI number for Julio Ortiz is 1366590101. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Julio Ortiz located?

Julio Ortiz practices at 11760 SW 40th St Ste 120, Miami, FL 33175. The listed phone number is (305) 220-2626.

What is Julio Ortiz's specialty?

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

Is Julio Ortiz enrolled in Medicare?

Yes. Julio 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 Julio Ortiz accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Julio 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 Julio Ortiz affiliated with any hospitals?

According to CMS data, Julio Ortiz is affiliated with South Miami Hospital and Hca Florida Kendall Hospital.

When was this NPI record last updated?

The NPPES record for Julio Ortiz was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.