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DR. DIEGO ORTEGA MD
NPI 1578793030
Hospitalist in Philadelphia, PA

Active since July 19, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1137 PINE ST APT 304, PHILADELPHIA, PA 19107(862) 216-8721 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 17, 2020, Oct 20, 2020, Jul 16, 2020 (3 updates tracked since 2020).

About Dr. Diego Ortega Md NPPES

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

DR. DIEGO ORTEGA MD (NPI 1578793030) is an individual hospitalist provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA09109000) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1578793030
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. DIEGO ORTEGACredential: MD
Location Address1137 PINE ST APT 304Philadelphia, PA 19107-6050
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Phone(862) 216-8721
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 19, 2009
Last NPPES UpdateNovember 17, 20203 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1578793030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA09109000
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 MT195986 (NJ)
1137 PINE ST APT 304, Philadelphia, PA 19107
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1100 Bowman Dr Lowr Level1Voorhees, NJ 08043-9612 · Phone (856) 247-3000 · Fax (856) 247-2597
Location 21600 Haddon Ave Fl 6Camden, NJ 08103-3101 · Phone (856) 757-3500 · Fax (856) 365-4088
Location 390 Brick Rd Fl 3Marlton, NJ 08053-2177 · Phone (856) 355-6000 · Fax (856) 355-6731
Location 4175 Madison AveMount Holly, NJ 08060-2099 · Phone (609) 914-6000 · Fax (609) 914-6182
Location 5218 Sunset Rd Fl 5Willingboro, NJ 08046-1110 · Phone (609) 835-3056 · Fax (609) 835-5741

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.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. Diego Ortega 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 ID4385890979
PECOS Enrollment IDI20120815000071
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 Reassignments

2

Medicare enrollment records show Diego Ortega reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virtua Medical Group, PA
6.0 mi
Urgent Care
602 W CUTHBERT BLVD UNIT 26 STE A
Haddon Township, NJ 08108
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1932659778 (856) 946-5180
Advocare, LLC
13 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

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 4

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 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.
255 services182 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
156 services66 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
67 services64 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 6

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
2 suppliers41 claims41 services$13.88 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers77 claims78 services$4.08 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
3 suppliers75 claims78 services$62.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims26 services$31.71 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
12 suppliers35 claims2,640 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
10 suppliers28 claims28 services$26.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Diego Ortega's NPI number?

The NPI number for Diego Ortega is 1578793030. It was assigned to this individual provider in the NPPES registry on July 19, 2009.

Where is Diego Ortega located?

Diego Ortega practices at 1137 Pine St Apt 304, Philadelphia, PA 19107. The listed phone number is (862) 216-8721.

What is Diego Ortega's specialty?

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

Is Diego Ortega enrolled in Medicare?

Yes. Diego Ortega 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 organizations bill Medicare for Diego Ortega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diego Ortega reassigns Medicare benefits to 2 organizations: Virtua Medical Group, PA (Haddon Township, NJ) and Advocare, LLC (Marlton, NJ). Each 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 Diego Ortega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diego Ortega accept?

Health plans from Ambetter Health and Oscar Health list Diego Ortega 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 Diego Ortega affiliated with any hospitals?

According to CMS data, Diego Ortega is affiliated with West Jersey Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Diego Ortega was last updated on November 17, 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.