DR. JUAN PABLO ORTEGA-SANDOYA M.D.
NPI 1457714925
Hospitalist in Sugar Land, TX

Q: What is Juan Ortega-sandoya's NPI number?

The NPI number for Juan Ortega-sandoya is 1457714925. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Q: What is Juan Ortega-sandoya's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment

85.99/100

CMS Quality Rating

17500 W GRAND PKWY S, SUGAR LAND, TX 77479(281) 725-5026 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Sep 19, 2024, Jul 3, 2024 and 2 more (5 updates tracked since 2016).

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About Dr. Juan Pablo Ortega-sandoya M.d. NPPES

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

DR. JUAN PABLO ORTEGA-SANDOYA M.D. (NPI 1457714925) is an individual hospitalist provider in Sugar Land, Texas, licensed in Texas (U9767) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains a secondary practice location in Roswell.

NPPES Registry Identity

NPI1457714925

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. JUAN PABLO ORTEGA-SANDOYACredential: M.D.

Location Address17500 W GRAND PKWY SSugar Land, TX 77479-2562

Mailing Address909 Frostwood Dr Ste 1.405Houston, TX 77024-2301 · (713) 338-5519

Phone(281) 725-5026

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 1, 2016

Last NPPES UpdateMarch 5, 20265 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1457714925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in TX · U9767

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD2019-0265 (NM), U9767 (TX)

17500 W GRAND PKWY S, Sugar Land, TX 77479

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Secondary Practice Location 1

Location 1405 W Country Club RdRoswell, NM 88201-5209 · Phone (575) 622-8170

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company.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

Dr. Juan Pablo Ortega-sandoya 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 ID244568772

PECOS Enrollment IDI20240628003764

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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

170 services166 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

77 services75 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450848

Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

85.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.98

Improvement Activities

Cost

80.63

Referred Medical Equipment & Supplies CMS DME claims 2

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

5 suppliers90 claims90 services$17.74 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

5 suppliers97 claims97 services$110.40 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.

MEMORIAL HERMANN HEALTH SYSTEM

Clinic/Center (Ambulatory Surgical)