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CARLOS ROBERTO ORTIZ M.D.
NPI 1801152525
Emergency Medicine in El Paso, TX

Active since April 06, 2012PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
4815 ALAMEDA AVE, EL PASO, TX 79905(915) 215-4600(915) 545-7338 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carlos Roberto Ortiz M.d. NPPES

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

CARLOS ROBERTO ORTIZ M.D. (NPI 1801152525) is an individual emergency medicine provider in El Paso, Texas, licensed in Texas (Q2695) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with The Hospitals Of Providence - Memorial Campus, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2012).

NPPES Registry Identity

NPI1801152525
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCARLOS ROBERTO ORTIZCredential: M.D.
Location Address4815 ALAMEDA AVEEl Paso, TX 79905-2705
Mailing Address5130 Gateway Blvd E # 51015El Paso, TX 79905-1608 · (915) 215-4480 · Fax (915) 215-5386
Phone(915) 215-4600
Fax(915) 545-7338
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2012
Enumeration DateApril 6, 2012
Last NPPES UpdateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1801152525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · Q2695
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4815 ALAMEDA AVE, El Paso, TX 79905
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.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

Carlos Roberto Ortiz 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 ID6406175579
PECOS Enrollment IDI20150512002035
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
157 services152 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
122 services114 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

The Hospitals Of Providence - Memorial Campus

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450002
Location2001 N Oregon StEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

The Hospitals Of Providence - East Campus

Acute Care Hospitals · El Paso, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670047
Location3280 Joe Battle BlvdEl Paso, TX 79938 · El Paso County
Emergency services Birthing friendly

The Hospitals Of Providence Transmountain Campus

Acute Care Hospitals · El Paso, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number670120
Location2000 Transmountain RdEl Paso, TX 79911 · El Paso County
Emergency services Birthing friendly

The Hospitals Of Providence Horizon City Campus

Acute Care Hospitals · Horizon City, TX
OwnershipProprietary
CMS Certification Number670124
Location13600 Horizon Street, Suite 100Horizon City, TX 79928 · El Paso County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

ROBIN O STEMERMAN AGACNP
Nurse Practitioner (Acute Care)
4815 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 544-1200
DR. WESLEY STONELL CRNA
Nurse Anesthetist, Certified Registered
4815 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 544-1200
LILLIAN E SANCHEZ
Registered Nurse
4815 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 544-1200
DR. GUSTAVO ADOLFO DELGADO M.D
General Acute Care Hospital
4815 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 526-4286
HEATHER KAY ACOSTA CRNA
Nurse Anesthetist, Certified Registered
4815 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 544-1200
MS. NORMA M. SALCIDO WHNP
Clinical Nurse Specialist (Women's Health)
4815 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 521-7415
JAMES JOSEPH MD
Internal Medicine
4815 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 544-1200
CLAUDIA ALEXANDRA JORDAN GUEDES MD
Radiology (Diagnostic Radiology)
4815 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 215-6000

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 Carlos Ortiz's NPI number?

The NPI number for Carlos Ortiz is 1801152525. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Where is Carlos Ortiz located?

Carlos Ortiz practices at 4815 Alameda Ave, El Paso, TX 79905. The listed phone number is (915) 215-4600.

What is Carlos Ortiz's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carlos Ortiz enrolled in Medicare?

Yes. Carlos 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 Carlos Ortiz accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Carlos 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 Carlos Ortiz affiliated with any hospitals?

According to CMS data, Carlos Ortiz is affiliated with The Hospitals Of Providence - Memorial Campus, The Hospitals Of Providence - East Campus, The Hospitals Of Providence Transmountain Campus and The Hospitals Of Providence Horizon City Campus.

When was this NPI record last updated?

The NPPES record for Carlos Ortiz was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.