DR. PEDRO LUIS ORTEGA MD
NPI 1740251891
Internal Medicine in Winter Park, FL
About Dr. Pedro Luis Ortega Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PEDRO LUIS ORTEGA MD (NPI 1740251891) is an individual internal medicine provider in Winter Park, Florida, licensed in Florida (ME75974) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 14, 2028, and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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. Pedro Luis 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.
Medicare Billing Reassignment
Medicare enrollment records show Pedro Ortega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winter Park, FL 32792
- Reassigned Medicare billing, Florida enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0995234
Pedro L Ortega MD PA · Winter Park, FLAreas 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINTER PARK, FL 32792
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 Pedro Ortega's NPI number?
The NPI number for Pedro Ortega is 1740251891. It was assigned to this individual provider in the NPPES registry on January 27, 2006.
Where is Pedro Ortega located?
Pedro Ortega practices at 3727 N Goldenrod Rd Suite 106, Winter Park, FL 32792. The listed phone number is (407) 478-0028.
What is Pedro Ortega's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Pedro Ortega enrolled in Medicare?
Yes. Pedro 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 organization bills Medicare for Pedro Ortega's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Ortega reassigns Medicare benefits to Pedro L. Ortega MD PA (Winter Park, FL). The 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 Pedro Ortega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Does Pedro Ortega hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0995234) is associated with this NPI, valid through January 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pedro Ortega accept?
Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Pedro 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.
When was this NPI record last updated?
The NPPES record for Pedro Ortega was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Pedro Luis Ortega, MD · NPI 1740251891
Internal Medicine physician in Winter Park, Florida. Individual provider, active in the CMS NPPES registry since January 27, 2006.
## Identity
- **NPI:** 1740251891 (Entity type: Individual)
- **Enumerated:** January 27, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME75974 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3727 N GOLDENROD RD, SUITE 106, Winter Park, FL 32792-8611
- **Phone:** (407) 478-0028 · **Fax:** (407) 476-0297
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pedro L. Ortega MD PA (NPI 1326438771, Winter Park, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** March 14, 2023
- **Other identifiers:** Medicaid 009320800 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740251891) · Data from the CMS NPPES public registry.