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VINCENT ORTOLANO M.D.
NPI 1669497814
Urology in Albuquerque, NM

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
61.05/100
CMS Quality Rating
8120 CONSTITUTION PL NE, SUITE 220, ALBUQUERQUE, NM 87110(505) 294-6979(505) 294-6986 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2018, Dec 20, 2016 (2 updates tracked since 2016).

About Vincent Ortolano M.d. NPPES

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

VINCENT ORTOLANO M.D. (NPI 1669497814) is an individual urology provider in Albuquerque, New Mexico, licensed in New Mexico (92-114) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1669497814
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameVINCENT ORTOLANOCredential: M.D.
Location Address8120 CONSTITUTION PL NE, SUITE 220Albuquerque, NM 87110-7625
Mailing Address12401 Walkerway St NeAlbuquerque, NM 87111-6278
Phone(505) 294-6979
Fax(505) 294-6986
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 15, 20182 updates tracked since enumeration
✔ NPI 1669497814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NM · 92-114
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
8120 CONSTITUTION PL NE, Albuquerque, NM 87110
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Secondary Practice Location 1

Location 18120 Constitution Pl NE, Suite 220Albuquerque, NM 87110-7625 · Phone (505) 294-6979 · Fax (505) 294-6986

Other Identifiers 1

Medicaid00011553NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Kaiser Permanente.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

Vincent Ortolano 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 ID2668435777
PECOS Enrollment IDI20210312000552
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 3

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Kauai Veterans Memorial Hospital

Critical Access Hospitals · Waimea, HI
OwnershipGovernment - State
CMS Certification Number121300
Location4643 Waimea Canyon DriveWaimea, HI 96796 · Kauai County
Emergency services Birthing friendly

Samuel Mahelona Memorial Hospital

Critical Access Hospitals · Kapaa, HI
OwnershipGovernment - State
CMS Certification Number121306
Location4800 Kawaihau RoadKapaa, HI 96746 · Kauai County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

61.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality29.19
Promoting Interoperability100
Improvement Activities40

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.

TANUJ SAARASWAT MD
Psychiatry & Neurology (Neurology)
8120 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (502) 553-5489
BEVERLY A. PUCKA, MD P.C.
Obstetrics & Gynecology (Gynecology)
8120 CONSTITUTION PL NE, SUITE 220
ALBUQUERQUE, NM 87110
Bernalillo County (505) 842-8741
NALLELI GARCIA PENA
Community Health Worker
8120 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 554-7830
VINCENT ORTOLANO MD PC
Clinic/Center
8120 CONSTITUTION PL NE, SUITE 220
ALBUQUERQUE, NM 87110
Bernalillo County (505) 294-6979
MANUEL ANTONIO GARCIA
Community Health Worker
8120 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 554-8800
MR. MICHAEL GREG FLAX MD
Obstetrics & Gynecology
8120 CONSTITUTION PL NE, SUITE 220
ALBUQUERQUE, NM 87110
Bernalillo County (505) 292-5534
ERNEST KENNETH MLADINICH MD
Psychiatry & Neurology (Neurology)
8120 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2730

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 Vincent Ortolano's NPI number?

The NPI number for Vincent Ortolano is 1669497814. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Vincent Ortolano located?

Vincent Ortolano practices at 8120 Constitution Pl NE Suite 220, Albuquerque, NM 87110. The listed phone number is (505) 294-6979.

What is Vincent Ortolano's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Vincent Ortolano enrolled in Medicare?

Yes. Vincent Ortolano 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 Vincent Ortolano accept?

Health plans from HMSA and Kaiser Permanente list Vincent Ortolano 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 Vincent Ortolano affiliated with any hospitals?

According to CMS data, Vincent Ortolano is affiliated with Wilcox Memorial Hospital, Kauai Veterans Memorial Hospital and Samuel Mahelona Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Vincent Ortolano was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.