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DR. MARIA A HORTILLOSA MD
NPI 1629004015
Family Medicine in Middlesboro, KY

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
3513 CUMBERLAND AVE, MIDDLESBORO, KY 40965(606) 248-5187(606) 248-5823 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maria A Hortillosa Md NPPES

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

DR. MARIA A HORTILLOSA MD (NPI 1629004015) is an individual family medicine provider in Middlesboro, Kentucky, licensed in Kentucky (20321) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of Other (1970).

NPPES Registry Identity

NPI1629004015
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIA A HORTILLOSACredential: MD
Location Address3513 CUMBERLAND AVEMiddlesboro, KY 40965
Mailing Address3513 Cumberland AveMiddlesboro, KY 40965 · (606) 248-5187 · Fax (606) 248-5823
Phone(606) 248-5187
Fax(606) 248-5823
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateJune 25, 2006
Last NPPES UpdateMay 15, 2013
✔ NPI 1629004015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 20321
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 20321 (KY)
3513 CUMBERLAND AVE, Middlesboro, KY 40965
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Other Identifiers 5

Medicaid005630291VA
Medicaid64203219KY
Medicare ID-Type Unspecified1300601KY
Medicare UPINC74149
Medicaid21300TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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. Maria A Hortillosa 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 ID8921001249
PECOS Enrollment IDI20060807000001
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.

Hospital Affiliations CMS Care Compare

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.10 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
2 suppliers18 claims18 services$119.11 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

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

YAHWEH MEDICAL CLINIC PSC
General Practice
3513 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (631) 790-2862

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 Maria Hortillosa's NPI number?

The NPI number for Maria Hortillosa is 1629004015. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Maria Hortillosa located?

Maria Hortillosa practices at 3513 Cumberland Ave, Middlesboro, KY 40965. The listed phone number is (606) 248-5187.

What is Maria Hortillosa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maria Hortillosa enrolled in Medicare?

Yes. Maria Hortillosa 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 Maria Hortillosa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Maria Hortillosa 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 Maria Hortillosa affiliated with any hospitals?

According to CMS data, Maria Hortillosa is affiliated with Middlesboro Arh Hospital.

When was this NPI record last updated?

The NPPES record for Maria Hortillosa was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.