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DR. MARCOS R ORTEGA M.D.
NPI 1861470312
Plastic Surgery in Pensacola, FL

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
5080 BAYOU BLVD, PENSACOLA, FL 32503(850) 477-4074(850) 476-9234 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marcos R Ortega M.d. NPPES

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

DR. MARCOS R ORTEGA M.D. (NPI 1861470312) is an individual plastic surgery provider in Pensacola, Florida, licensed in Florida (ME84738) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and is a graduate of Hahnemann University College Of Medicine (1995).

NPPES Registry Identity

NPI1861470312
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. MARCOS R ORTEGACredential: M.D.
Location Address5080 BAYOU BLVDPensacola, FL 32503-2522
Mailing Address5080 Bayou BlvdPensacola, FL 32503-2522 · (850) 477-4074 · Fax (850) 476-9234
Phone(850) 477-4074
Fax(850) 476-9234
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1995
Enumeration DateJanuary 5, 2006
Last NPPES UpdateAugust 30, 2019
✔ NPI 1861470312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in FL · ME84738
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5080 BAYOU BLVD, Pensacola, FL 32503
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Other Identifiers 3

Other28054FL · Bc/bs Of Fl Id Number
Other59062530FL · Bc/bs Al Id Number
OtherME 84738FL · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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

Dr. Marcos R Ortega 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 ID6800089707
PECOS Enrollment IDI20101025000211
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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32503 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 2

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

TEODORO K. ORTEGA, M.D., P.A.
Plastic Surgery
5080 BAYOU BLVD
PENSACOLA, FL 32503
Escambia County (850) 477-4074
DR. TEODORO K ORTEGA M.D.
Plastic Surgery
5080 BAYOU BLVD
PENSACOLA, FL 32503
Escambia County (850) 477-4074

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 Marcos Ortega's NPI number?

The NPI number for Marcos Ortega is 1861470312. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Marcos Ortega located?

Marcos Ortega practices at 5080 Bayou Blvd, Pensacola, FL 32503. The listed phone number is (850) 477-4074.

What is Marcos Ortega's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Marcos Ortega enrolled in Medicare?

Yes. Marcos 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.

What insurance does Marcos Ortega accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Marcos Ortega 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 Marcos Ortega affiliated with any hospitals?

According to CMS data, Marcos Ortega is affiliated with Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Marcos Ortega was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.