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DR. OSCAR TANYAG ORTIZ M.D.
NPI 1396719662
Specialist in Toms River, NJ

Active since February 14, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 31D0988032 · Waiver
75/100
CMS Quality Rating
1163 ROUTE 37 WEST, SUITE A-1, TOMS RIVER, NJ 08755(732) 736-1000(732) 736-8811 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Mar 6, 2020, Feb 15, 2016 (2 updates tracked since 2016).

About Dr. Oscar Tanyag Ortiz M.d. NPPES

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

DR. OSCAR TANYAG ORTIZ M.D. (NPI 1396719662) is an individual specialist in Toms River, New Jersey, licensed in New Jersey (MA06148100) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 18, 2027, and is affiliated with Deborah Heart And Lung Center.

NPPES Registry Identity

NPI1396719662
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. OSCAR TANYAG ORTIZCredential: M.D.
Location Address1163 ROUTE 37 WEST, SUITE A-1Toms River, NJ 08755-4794
Mailing Address1163 Route 37 West, Suite A-1Toms River, NJ 08755-4794 · (732) 736-1000 · Fax (732) 736-8811
Phone(732) 736-1000
Fax(732) 736-8811
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMarch 6, 20202 updates tracked since enumeration
NPPES CertifiedMarch 6, 2020
✔ NPI 1396719662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MA06148100
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1163 ROUTE 37 WEST, Toms River, NJ 08755
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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

Dr. Oscar Tanyag 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 ID7618965526
PECOS Enrollment IDI20040430001142
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0988032

Oscar T Ortiz MD Facp · Toms River, NJ
Active · expires Jun 18, 2027
CLIA Number31D0988032
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorOscar T. Ortiz
Laboratory Phone(732) 736-1000
Laboratory LocationOscar T Ortiz MD Facp1163 Route 37 West Suite A-1, Toms River, NJ 08755
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.

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.
1,477 services811 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.
484 services356 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
398 services198 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
395 services189 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.
154 services154 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.
68 services58 patients

Hospital Affiliations CMS Care Compare 5

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

Deborah Heart And Lung Center

Acute Care Hospitals · Browns Mills, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310031
Location200 Trenton RoadBrowns Mills, NJ 08015 · Burlington County

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

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

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
34%759 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
15%6,027 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%12,603 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
56%516 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
55%2,797 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%2,748 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
45%2,797 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%2,797 patients1/55-star benchmark: 79%
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 14

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers64 claims830 services$18.06 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers62 claims1,975 services$2.33 avg. paid by Medicare
Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
3 suppliers25 claims50 services$0.44 avg. paid by Medicare
Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each A4235
DME-Other DME · category DE017N
3 suppliers22 claims26 services$0.82 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers21 claims21 services$176.04 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
91 suppliers851 claims3,534 services$6.25 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 2

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

ROBERT D SCOTT MD
Internal Medicine
1163 ROUTE 37 WEST, BLDG B-3
TOMS RIVER, NJ 08755
Ocean County (732) 557-9012
MRS. SUSAN ANN SCOTT LCSW
Social Worker
1163 ROUTE 37 WEST, SUITE B3
TOMS RIVER, NJ 08755
Ocean County (732) 288-0992

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 Oscar Ortiz's NPI number?

The NPI number for Oscar Ortiz is 1396719662. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Oscar Ortiz located?

Oscar Ortiz practices at 1163 Route 37 West Suite A-1, Toms River, NJ 08755. The listed phone number is (732) 736-1000.

What is Oscar Ortiz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Oscar Ortiz enrolled in Medicare?

Yes. Oscar 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.

Does Oscar Ortiz hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0988032) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Oscar Ortiz affiliated with any hospitals?

According to CMS data, Oscar Ortiz is affiliated with Deborah Heart And Lung Center, Community Medical Center, Ocean Medical Center, Monmouth Medical Center-Southern Campus and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Oscar Ortiz was last updated on March 6, 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.