EFRAIN RICARDO OCHOA JR. MD
NPI 1851566517
Radiology - Diagnostic Radiology in Pittsburgh, PA
About Efrain Ricardo Ochoa Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EFRAIN RICARDO OCHOA JR. MD (NPI 1851566517) is an individual diagnostic radiology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD446929) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Wake Forest University School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Efrain Ricardo Ochoa Jr. Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Efrain Ochoa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pittsburgh, PA 15212
- Reassigned Medicare billing, Pennsylvania enrollment
- 160 clinicians in this Medicare group
Bemus Point, NY 14712
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Chautauqua Medical Practice PC
- 154 clinicians in this Medicare group
Columbus, OH 43210
- Reassigned Medicare billing, Pennsylvania enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 21
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohio State University State Health System
Acute Care Hospitals · Columbus, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
PITTSBURGH, PA 15212
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 Efrain Ochoa's NPI number?
The NPI number for Efrain Ochoa is 1851566517. It was assigned to this individual provider in the NPPES registry on April 24, 2008.
Where is Efrain Ochoa located?
Efrain Ochoa practices at 320 E North Ave, Pittsburgh, PA 15212. The listed phone number is (412) 359-2459.
What is Efrain Ochoa's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Efrain Ochoa enrolled in Medicare?
Yes. Efrain Ochoa 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.
Which organizations bill Medicare for Efrain Ochoa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Efrain Ochoa reassigns Medicare benefits to 3 organizations: Allegheny Clinic Radiology (Pittsburgh, PA), Chautauqua Medical Practice, P.C. (Bemus Point, NY) and Osu Radiology LLC (Columbus, OH). Each 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 Efrain Ochoa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Efrain Ochoa accept?
Health plans from CareSource list Efrain Ochoa 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 Efrain Ochoa affiliated with any hospitals?
According to CMS data, Efrain Ochoa is affiliated with Ohio State University State Health System.
When was this NPI record last updated?
The NPPES record for Efrain Ochoa was last updated on August 26, 2024. 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.