1. Home
  2. Directory
  3. New Mexico
  4. Rio Rancho
  5. Dermatology
  6. NPI Profile

DR. KAREL JILL ORTIZ M.D.
NPI 1811935984
Dermatology in Rio Rancho, NM

Active since June 02, 2006PECOS Enrolled
2220 GRANDE BLVD SE STE B, RIO RANCHO, NM 87124(505) 896-2900(505) 938-4198 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Karel Jill Ortiz M.d. NPPES

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

DR. KAREL JILL ORTIZ M.D. (NPI 1811935984) is an individual dermatology provider in Rio Rancho, New Mexico, licensed in New Mexico (MD2005-0405) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811935984
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. KAREL JILL ORTIZCredential: M.D.
Location Address2220 GRANDE BLVD SE STE BRio Rancho, NM 87124-1687
Mailing Address2220 Grande Blvd Se Ste BRio Rancho, NM 87124-1687 · (505) 896-2900 · Fax (505) 938-4198
Phone(505) 896-2900
Fax(505) 938-4198
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateMay 22, 2014
✔ NPI 1811935984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NM · MD2005-0405
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MD2005-0405 (NM)
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License MD2005-0405 (NM)
2220 GRANDE BLVD SE STE B, Rio Rancho, NM 87124
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH77437

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karel Jill Ortiz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Billing Reassignment

Medicare enrollment records show Karel Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rio Grande Dermatology, PC
4.6 mi
Dermatology
4545 ALAMEDA BLVD NE, SUITE G
Albuquerque, NM 87113
  • Reassigned Medicare billing, New Mexico enrollment
  • 5 clinicians in this Medicare group
NPI 1497910848 (505) 896-2900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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.

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
85%54 patients4/55-star benchmark: 100%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%1,868 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,400 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%3,361 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
81%1,868 patients4/55-star benchmark: 95%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%3,361 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%3,361 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%54 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Karel Ortiz's NPI number?

The NPI number for Karel Ortiz is 1811935984. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Karel Ortiz located?

Karel Ortiz practices at 2220 Grande Blvd SE Ste B, Rio Rancho, NM 87124. The listed phone number is (505) 896-2900.

What is Karel Ortiz's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Karel Ortiz enrolled in Medicare?

Yes. Karel Ortiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karel Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karel Ortiz reassigns Medicare benefits to Rio Grande Dermatology, PC (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karel Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karel Ortiz was last updated on May 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.