JOHN E HORTAREAS DO
NPI 1376536193
Internal Medicine in Phoenix, AZ

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9225 N 3RD ST, STE 300, PHOENIX, AZ 85020(602) 445-0751(602) 424-8128 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John E Hortareas Do NPPES

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

JOHN E HORTAREAS DO (NPI 1376536193) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (3253) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1376536193
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN E HORTAREASCredential: DO
Location Address9225 N 3RD ST, STE 300Phoenix, AZ 85020-2439
Mailing Address9225 N 3rd St, Ste 300Phoenix, AZ 85020-2439 · (602) 445-0751 · Fax (602) 424-8128
Fax(602) 424-8128
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 26, 2005
Last NPPES UpdateMarch 22, 2016
NPI 1376536193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · 3253
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

9225 N 3RD ST, Phoenix, AZ 85020

Other Identifiers 2

Medicaid409161AZ
Medicare UPING63417

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

John E Hortareas Do 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 ID8729020953
PECOS Enrollment IDI20050526000843
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 7

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.

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.
258 services73 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.
231 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
117 services73 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services34 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.
28 services27 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85020 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$16.11 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$4.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers38 claims38 services$68.91 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.38 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.

Orthopaedic Surgery
9225 N 3RD ST, SUITE 302
PHOENIX, AZ 85020
Neurological Surgery
9225 N 3RD ST, SUITE 100
PHOENIX, AZ 85020
Internal Medicine
9225 N 3RD ST, STE 300
PHOENIX, AZ 85020
Internal Medicine (Hospice and Palliative Medicine)
9225 N 3RD ST, SUITE 103
PHOENIX, AZ 85020
Registered Nurse
9225 N 3RD ST, STE. 103
PHOENIX, AZ 85020
Nurse Practitioner
9225 N 3RD ST, SUITE 300
PHOENIX, AZ 85020
Occupational Therapist
9225 N 3RD ST, SUITE 101
PHOENIX, AZ 85020
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9225 N 3RD ST, SUITE 307
PHOENIX, AZ 85020

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 John Hortareas's NPI number?

The NPI number for John Hortareas is 1376536193. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is John Hortareas located?

John Hortareas practices at 9225 N 3rd St Ste 300, Phoenix, AZ 85020. The listed phone number is (602) 445-0751.

What is John Hortareas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Hortareas enrolled in Medicare?

Yes. John Hortareas 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 John Hortareas accept?

Health plans from Oscar Health Plan, Inc. list John Hortareas 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 John Hortareas was last updated on March 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.