Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GUSTAVO ORTEGA M.D.
NPI 1750644894
Internal Medicine in Tucson, AZ

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
5555 E 5TH ST STE 101, TUCSON, AZ 85711(520) 886-4181(520) 721-7536 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2017, Feb 20, 2017 (2 updates tracked since 2017).

About Dr. Gustavo Ortega M.d. NPPES

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

DR. GUSTAVO ORTEGA M.D. (NPI 1750644894) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (50498) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2012).

NPPES Registry Identity

NPI1750644894
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GUSTAVO ORTEGACredential: M.D.
Location Address5555 E 5TH ST STE 101Tucson, AZ 85711-2415
Mailing Address4801 E Broadway Blvd Ste 251Tucson, AZ 85711-2700 · (520) 382-1205 · Fax (520) 795-0225
Fax(520) 721-7536
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2012
Enumeration DateJune 22, 2012
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
NPI 1750644894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · 50498
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 50498 (AZ)
5555 E 5TH ST STE 101, Tucson, AZ 85711

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. Gustavo Ortega 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 ID345553236
PECOS Enrollment IDI20150721002713
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 38

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
507 services269 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
430 services261 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
379 services246 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
343 services239 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.
319 services166 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
305 services242 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85711 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers23 claims68 services$6.04 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers19 claims19 services$31.38 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers12 claims62 services$13.44 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers24 claims24 services$47.68 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers20 claims20 services$16.19 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers28 claims157 services$1.75 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 13

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

Internal Medicine
5555 E 5TH ST STE 101
TUCSON, AZ 85711
Family Medicine (Sports Medicine)
5555 E 5TH ST STE 101
TUCSON, AZ 85711
Family Medicine
5555 E 5TH ST STE 101
TUCSON, AZ 85711
Nurse Practitioner (Family)
5555 E 5TH ST STE 101
TUCSON, AZ 85711
Nurse Practitioner (Family)
5555 E 5TH ST STE 101
TUCSON, AZ 85711
Nurse Practitioner (Family)
5555 E 5TH ST STE 101
TUCSON, AZ 85711
Family Medicine
5555 E 5TH ST STE 101
TUCSON, AZ 85711
Internal Medicine
5555 E 5TH ST STE 101
TUCSON, AZ 85711

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 Gustavo Ortega's NPI number?

The NPI number for Gustavo Ortega is 1750644894. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Gustavo Ortega located?

Gustavo Ortega practices at 5555 E 5th St Ste 101, Tucson, AZ 85711. The listed phone number is (520) 886-4181.

What is Gustavo Ortega's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gustavo Ortega enrolled in Medicare?

Yes. Gustavo 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.

When was this NPI record last updated?

The NPPES record for Gustavo Ortega was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.