RICHARD ORTEGA JR. NP
NPI 1790371607
Nurse Practitioner - Family in East Setauket, NY

Active since December 15, 2020PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
24 RESEARCH WAY STE 500, EAST SETAUKET, NY 11733(631) 444-6270 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2021, Dec 15, 2020 (2 updates tracked since 2020).

About Richard Ortega Jr. Np NPPES

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

RICHARD ORTEGA JR. NP (NPI 1790371607) is an individual family provider in East Setauket, New York, licensed in New York (346848) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790371607
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRICHARD ORTEGA JR.Credential: NP
Location Address24 RESEARCH WAY STE 500East Setauket, NY 11733-3470
Mailing Address194 Missouri AveBay Shore, NY 11706-4536 · (631) 559-7583
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 15, 2020
Last NPPES UpdateMay 21, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
NPI 1790371607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 346848
24 RESEARCH WAY STE 500, East Setauket, NY 11733

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

Richard Ortega Jr. Np 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 ID3476952284
PECOS Enrollment IDI20210527002595
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services49 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Adult Health)
24 RESEARCH WAY STE 500
EAST SETAUKET, NY 11733
Nurse Practitioner
24 RESEARCH WAY STE 500
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
24 RESEARCH WAY STE 500
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
24 RESEARCH WAY STE 500
EAST SETAUKET, NY 11733
Physician Assistant
24 RESEARCH WAY STE 500
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY STE 500
SETAUKET, NY 11733
Nurse Practitioner (Family)
24 RESEARCH WAY STE 500
EAST SETAUKET, NY 11733
Nurse Practitioner (Family)
24 RESEARCH WAY STE 500
EAST SETAUKET, NY 11733

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 Richard Ortega's NPI number?

The NPI number for Richard Ortega is 1790371607. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Where is Richard Ortega located?

Richard Ortega practices at 24 Research Way Ste 500, East Setauket, NY 11733. The listed phone number is (631) 444-6270.

What is Richard Ortega's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Richard Ortega enrolled in Medicare?

Yes. Richard 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.

Is Richard Ortega affiliated with any hospitals?

According to CMS data, Richard Ortega is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Richard Ortega was last updated on May 21, 2021. 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.