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DR. ANA CRISTINA TORO-ORTIZ MD
NPI 1366638165
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Carolina, PR

Active since September 14, 2007PECOS EnrolledAccepts Medicare Assignment
86.37/100
CMS Quality Rating
AVE 65 DE INFANTERIA KM 12.3, INSTITUTO DE OJOS, CAROLINA, PR 00985(787) 769-2477(787) 276-0065 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2020, Nov 14, 2016 (2 updates tracked since 2016).

About Dr. Ana Cristina Toro-ortiz Md NPPES

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

DR. ANA CRISTINA TORO-ORTIZ MD (NPI 1366638165) is an individual ophthalmic plastic and reconstructive surgery provider in Carolina, Puerto Rico, licensed in Puerto Rico (17364) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arecibo, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1366638165
Entity TypeIndividualFemale
Primary Taxonomy207WX0200X
Provider Legal NameDR. ANA CRISTINA TORO-ORTIZCredential: MD
Location AddressAVE 65 DE INFANTERIA KM 12.3, INSTITUTO DE OJOSCarolina, PR 00985
Mailing AddressC14 Urb Campo ReyAibonito, PR 00705-3926
Phone(787) 769-2477
Fax(787) 276-0065
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 14, 2007
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1366638165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in PR · 17364
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License 17364 (PR)

Secondary Practice Location 1

Location 1Ave IndustrialArecibo, PR 00612 · Phone (787) 820-8989

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

Dr. Ana Cristina Toro-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 ID244496974
PECOS Enrollment IDI20140815000839
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 Reassignment

Medicare enrollment records show Ana Toro-ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Instituto De Ojos Y Piel, Inc
Optometrist
ROAD 3 KM12.5
Carolina, PR 00985
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 16 clinicians in this Medicare group
NPI 1073557252 (787) 769-2477

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

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.

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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00985 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
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.

86.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost54.57

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 Ana Toro-ortiz's NPI number?

The NPI number for Ana Toro-ortiz is 1366638165. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Ana Toro-ortiz located?

Ana Toro-ortiz practices at Ave 65 De Infanteria Km 12.3 Instituto De Ojos, Carolina, PR 00985. The listed phone number is (787) 769-2477.

What is Ana Toro-ortiz's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Ana Toro-ortiz enrolled in Medicare?

Yes. Ana Toro-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.

Which organization bills Medicare for Ana Toro-ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ana Toro-ortiz reassigns Medicare benefits to Instituto De Ojos Y Piel, Inc (Carolina, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ana Toro-ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ana Toro-ortiz was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.