DR. GUILLERMO ORTIZ M.D.
NPI 1407828445
Obstetrics & Gynecology in Wharton, NJ

Active since February 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 31D2167776 · Waiver
249 SOUTH MAIN STREET, WHARTON, NJ 07885(973) 361-5252(973) 361-6161 Get Directions Write a Review

NPPES record last updated: February 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Guillermo Ortiz M.d. NPPES

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

DR. GUILLERMO ORTIZ M.D. (NPI 1407828445) is an individual obstetrics & gynecology provider in Wharton, New Jersey, licensed in New Jersey (25MA06046500) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 13, 2027, and is affiliated with Morristown Medical Center.

NPPES Registry Identity

NPI1407828445
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. GUILLERMO ORTIZCredential: M.D.
Location Address249 SOUTH MAIN STREETWharton, NJ 07885
Mailing Address249 S Main StWharton, NJ 07885-2009 · (973) 361-5252 · Fax (973) 361-6161
Fax(973) 361-6161
Sole ProprietorYes
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1986
Enumeration DateFebruary 3, 2006
Last NPPES UpdateFebruary 8, 2011
NPI 1407828445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NJ · 25MA06046500
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
249 SOUTH MAIN STREET, Wharton, NJ 07885

Other Identifiers 2

Medicare UPINF78302NJ
Medicare UPIN766325NJ

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. Guillermo 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 ID9739122409
PECOS Enrollment IDI20050603000225
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 31D2167776

Guillermo Ortiz, MD · Wharton, NJ
Active · expires Jun 13, 2027
CLIA Number31D2167776
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorGuillermo Ortiz
Laboratory Phone(973) 361-5252
Laboratory LocationGuillermo Ortiz, MD249 South Main Street, Wharton, NJ 07885
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
34 services34 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07885 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 Guillermo Ortiz's NPI number?

The NPI number for Guillermo Ortiz is 1407828445. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Guillermo Ortiz located?

Guillermo Ortiz practices at 249 South Main Street, Wharton, NJ 07885. The listed phone number is (973) 361-5252.

What is Guillermo Ortiz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Guillermo Ortiz enrolled in Medicare?

Yes. Guillermo 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 Guillermo Ortiz hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2167776) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Guillermo Ortiz affiliated with any hospitals?

According to CMS data, Guillermo Ortiz is affiliated with Morristown Medical Center and Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Guillermo Ortiz was last updated on February 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.