JESSICA LEE BORTEL M.D.
NPI 1780028621
Psychiatry & Neurology - Child & Adolescent Psychiatry in Buffalo, NY

Active since April 22, 2013PECOS EnrolledAccepts Medicare Assignment
90.03/100
CMS Quality Rating
462 GRIDER ST, ECMC, #1184-A, BUFFALO, NY 14215(716) 898-4221(716) 898-4538 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 2, 2020, May 9, 2020 (2 updates tracked since 2020).

About Jessica Lee Bortel M.d. NPPES

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

JESSICA LEE BORTEL M.D. (NPI 1780028621) is an individual child & adolescent psychiatry provider in Buffalo, New York, licensed in New York (282829) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2013).

NPPES Registry Identity

NPI1780028621
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameJESSICA LEE BORTELCredential: M.D.
Location Address462 GRIDER ST, ECMC, #1184-ABuffalo, NY 14215-3021
Mailing Address1010 E And West RdWest Seneca, NY 14224-3602 · (716) 677-7109
Fax(716) 898-4538
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2013
Enumeration DateApril 22, 2013
Last NPPES UpdateOctober 2, 20202 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
NPI 1780028621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in NY · 282829
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
462 GRIDER ST, Buffalo, NY 14215

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

Jessica Lee Bortel 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 ID6406119973
PECOS Enrollment IDI20180416000502
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.

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.

90.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.88
Improvement Activities40
Cost63.01

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Nurse Practitioner (Acute Care)
462 GRIDER ST
BUFFALO, NY 14215
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215

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 Jessica Bortel's NPI number?

The NPI number for Jessica Bortel is 1780028621. It was assigned to this individual provider in the NPPES registry on April 22, 2013.

Where is Jessica Bortel located?

Jessica Bortel practices at 462 Grider St Ecmc, #1184-A, Buffalo, NY 14215. The listed phone number is (716) 898-4221.

What is Jessica Bortel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jessica Bortel enrolled in Medicare?

Yes. Jessica Bortel 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 Jessica Bortel was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.