GONZALO ORTIZ
NPI 1740713643
Ophthalmology - Retina Specialist in Port Orange, FL

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
741 DUNLAWTON AVE, PORT ORANGE, FL 32127(800) 255-7188(407) 423-9040 Get Directions Write a Review

NPPES record last updated: September 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2025, Sep 13, 2024, Jun 15, 2023 (3 updates tracked since 2023).

About Gonzalo Ortiz NPPES

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

GONZALO ORTIZ (NPI 1740713643) is an individual retina specialist in Port Orange, Florida, licensed in Florida (ME148138) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740713643
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameGONZALO ORTIZ
Location Address741 DUNLAWTON AVEPort Orange, FL 32127-9226
Mailing Address3824 Oakwater CirOrlando, FL 32806-6263 · (407) 893-8200 · Fax (407) 893-8210
Fax(407) 423-9040
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2017
Enumeration DateApril 6, 2017
Last NPPES UpdateSeptember 7, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2025
NPI 1740713643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in FL · ME148138
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License ME148138 (FL)
741 DUNLAWTON AVE, Port Orange, FL 32127

Secondary Practice Locations 2

Location 1529 Health BlvdDaytona Beach, FL 32114-1493 · Phone (800) 255-7188 · Fax (407) 423-9040
Location 21121 Miranda LnKissimmee, FL 34741-0763 · Phone (800) 255-7188 · Fax (407) 423-9040

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

Gonzalo Ortiz 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 ID9830555630
PECOS Enrollment IDI20230522001142
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 11

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
285 services140 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
152 services50 patients
Compounded drug, not otherwise classified J7999
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
121 services41 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.
106 services90 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
92 services67 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
72 services11 patients

Hospital Affiliations CMS Care Compare

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

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32127 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 2

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

Ophthalmology
741 DUNLAWTON AVE
PORT ORANGE, FL 32127
Ophthalmology
741 DUNLAWTON AVE
PORT ORANGE, FL 32127

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 Gonzalo Ortiz's NPI number?

The NPI number for Gonzalo Ortiz is 1740713643. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Gonzalo Ortiz located?

Gonzalo Ortiz practices at 741 Dunlawton Ave, Port Orange, FL 32127. The listed phone number is (800) 255-7188.

What is Gonzalo Ortiz's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Gonzalo Ortiz enrolled in Medicare?

Yes. Gonzalo 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 Gonzalo Ortiz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers list Gonzalo 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 Gonzalo Ortiz affiliated with any hospitals?

According to CMS data, Gonzalo Ortiz is affiliated with Halifax Health Medical Center.

When was this NPI record last updated?

The NPPES record for Gonzalo Ortiz was last updated on September 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.