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DR. JAN CARLOS ORTIZ ROSARIO MD
NPI 1386020709
Ophthalmology - Retina Specialist in Ponce, PR

Active since August 07, 2015PECOS EnrolledAccepts Medicare Assignment
CALLE UNION #91 ESQ CALLE SOL, PONCE, PR 00730(787) 848-5353(787) 259-4462 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2023, Jun 21, 2023, Jul 25, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Jan Carlos Ortiz Rosario Md NPPES

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

DR. JAN CARLOS ORTIZ ROSARIO MD (NPI 1386020709) is an individual retina specialist in Ponce, Puerto Rico, licensed in Puerto Rico (19473) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (2015).

NPPES Registry Identity

NPI1386020709
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. JAN CARLOS ORTIZ ROSARIOCredential: MD
Location AddressCALLE UNION #91 ESQ CALLE SOLPonce, PR 00730
Mailing AddressPo Box 7432Ponce, PR 00732-7432 · (787) 848-5353
Phone(787) 848-5353
Fax(787) 259-4462
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2015
Enumeration DateAugust 7, 2015
Last NPPES UpdateAugust 10, 20236 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1386020709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in PR · 19473
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License S5724 (TX)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 19473 (PR)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Wyoming and more.Insurance ›

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. Jan Carlos Ortiz Rosario 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 ID8426470741
PECOS Enrollment IDI20220905000194
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 Jan Ortiz Rosario reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Retina LLC
Retina Specialist
CALLE UNION #91 ESQ CALLE SOL
Ponce, PR 00730
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1871226415 (787) 848-5353

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 6

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
114 services57 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.
96 services56 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
80 services41 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
33 services33 patients
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.
32 services27 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
21 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00730 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.

Other Providers at the Same Location NPPES

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

ADVANCED RETINA LLC
Ophthalmology (Retina Specialist)
CALLE UNION #91 ESQ CALLE SOL
PONCE, PR 00730
Ponce Municipio (787) 848-5353

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 Jan Ortiz Rosario's NPI number?

The NPI number for Jan Ortiz Rosario is 1386020709. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Where is Jan Ortiz Rosario located?

Jan Ortiz Rosario practices at Calle Union #91 Esq Calle Sol, Ponce, PR 00730. The listed phone number is (787) 848-5353.

What is Jan Ortiz Rosario's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Jan Ortiz Rosario enrolled in Medicare?

Yes. Jan Ortiz Rosario 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 Jan Ortiz Rosario's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jan Ortiz Rosario reassigns Medicare benefits to Advanced Retina LLC (Ponce, 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 Jan Ortiz Rosario's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jan Ortiz Rosario accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Jan Ortiz Rosario 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 Jan Ortiz Rosario was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.