DR. CARLOS MANUEL ORTIZ ORTIZ M.D.
NPI 1477749968
Surgery in Celebration, FL

Active since September 19, 2007PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
410 CELEBRATION PL STE 302, CELEBRATION, FL 34747(407) 303-3824(407) 303-3825 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carlos Manuel Ortiz Ortiz M.d. NPPES

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

DR. CARLOS MANUEL ORTIZ ORTIZ M.D. (NPI 1477749968) is an individual surgery provider in Celebration, Florida, licensed in Florida (ME111860) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1477749968
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CARLOS MANUEL ORTIZ ORTIZCredential: M.D.
Location Address410 CELEBRATION PL STE 302Celebration, FL 34747-5435
Mailing Address410 Celebration Pl Ste 302Celebration, FL 34747-5435 · (407) 303-3824 · Fax (407) 303-3825
Fax(407) 303-3825
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 19, 2007
Last NPPES UpdateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
NPI 1477749968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in FL · ME111860 Licensed in PR · 17847
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
410 CELEBRATION PL STE 302, Celebration, FL 34747

Other Names 1

Professional Name (2)Dr. Carlos M Ortiz Ortiz M.d.

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

Dr. Carlos Manuel Ortiz 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 ID6608022645
PECOS Enrollment IDI20120808000066
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 8

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.

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.
51 services51 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.
46 services38 patients
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.
38 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 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.
16 services16 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34747 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Referred Medical Equipment & Supplies CMS DME claims 5

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier12 claims480 services$3.14 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
2 suppliers13 claims53 services$3.36 avg. paid by Medicare
Ostomy skin barrier, non-pectin based, paste, per ounce A4405
DME-Orthotic Devices · category DF010N
1 supplier12 claims48 services$3.15 avg. paid by Medicare
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each A4416
DME-Orthotic Devices · category DF010N
1 supplier12 claims720 services$2.54 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims1,200 services$0.22 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 7

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

Surgery
410 CELEBRATION PL STE 302
CELEBRATION, FL 34747
Physician Assistant (Surgical)
410 CELEBRATION PL STE 302
CELEBRATION, FL 34747
Physician Assistant
410 CELEBRATION PL STE 302
CELEBRATION, FL 34747
Physician Assistant
410 CELEBRATION PL STE 302
CELEBRATION, FL 34747
Physician Assistant (Surgical)
410 CELEBRATION PL STE 302
CELEBRATION, FL 34747
Physician Assistant (Medical)
410 CELEBRATION PL STE 302
CELEBRATION, FL 34747
Physician Assistant (Surgical)
410 CELEBRATION PL STE 302
CELEBRATION, FL 34747

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 Carlos Ortiz Ortiz's NPI number?

The NPI number for Carlos Ortiz Ortiz is 1477749968. It was assigned to this individual provider in the NPPES registry on September 19, 2007. The provider is also known as Dr. Carlos M Ortiz Ortiz M.D..

Where is Carlos Ortiz Ortiz located?

Carlos Ortiz Ortiz practices at 410 Celebration Pl Ste 302, Celebration, FL 34747. The listed phone number is (407) 303-3824.

What is Carlos Ortiz Ortiz's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Carlos Ortiz Ortiz enrolled in Medicare?

Yes. Carlos Ortiz 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.

What insurance does Carlos Ortiz Ortiz accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Carlos Ortiz Ortiz 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.

Is Carlos Ortiz Ortiz affiliated with any hospitals?

According to CMS data, Carlos Ortiz Ortiz is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Carlos Ortiz Ortiz was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.