DR. JOSE OCTAVIO ORTEGA MD
NPI 1912974833
Internal Medicine - Sports Medicine in Birmingham, AL

Q: What is Jose Ortega's NPI number?

The NPI number for Jose Ortega is 1912974833. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Q: What is Jose Ortega's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Q: When was this NPI record last updated?

The NPPES record for Jose Ortega was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205(205) 939-3699(205) 484-2585 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Jose Octavio Ortega Md NPPES

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

DR. JOSE OCTAVIO ORTEGA MD (NPI 1912974833) is an individual sports medicine provider in Birmingham, Alabama, licensed in Alabama (21877) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hoover, and is a graduate of University Of Alabama School Of Medicine (1996).

NPPES Registry Identity

NPI1912974833

Entity TypeIndividualMale

Primary Taxonomy207RS0010X

Provider Legal NameDR. JOSE OCTAVIO ORTEGACredential: MD

Location Address805 SAINT VINCENTS DR, SUITE 100Birmingham, AL 35205-1636

Mailing Address805 Saint Vincents Dr, Suite 100Birmingham, AL 35205-1636 · (205) 939-3699 · Fax (205) 484-2585

Phone(205) 939-3699

Fax(205) 484-2585

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1996

Enumeration DateMarch 1, 2006

Last NPPES UpdateMay 5, 2025

NPPES CertifiedMay 5, 2025

✔ NPI 1912974833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

License✔ Licensed in AL · 21877

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

805 SAINT VINCENTS DR, Birmingham, AL 35205

Open in Google Maps ↗

Secondary Practice Location 1

Location 15406 Highway 280 Ste D106Hoover, AL 35242-6596 · Phone (205) 939-3699 · Fax (205) 484-2585

Other Identifiers 3

Medicaid009912671AL

Other51521092AL · Bcbs

Other51006177AL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Dr. Jose Octavio Ortega 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.

PECOS PAC ID244228351

PECOS Enrollment IDI20040505001158

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 Jose Ortega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stv Sports Medicine & Orthopedics LLC

Same address

Neuromusculoskeletal Medicine, Sports Medicine

805 SAINT VINCENTS DR, STE 100
Birmingham, AL 35205

Reassigned Medicare billing, Alabama enrollment
93 clinicians in this Medicare group

NPI 1467818575 (205) 939-3699

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 19

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

6,180 services67 patients

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

1,788 services21 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

293 services125 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.

226 services158 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

181 services118 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

158 services121 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

99 services87 patients

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.

90 services76 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

77 services68 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

76 services15 patients

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.

58 services58 patients

X-ray of shoulder, 1 view 73020

An X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.

49 services47 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

40 services39 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

24 services12 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

21 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

16 services15 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

12 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier15 claims15 services$68.46 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TROY H STEWART OPA

805 SAINT VINCENTS DR, SUITE 100
BIRMINGHAM, AL 35205

Jefferson County (205) 939-3699

DR. JAMES H CRENSHAW M.D.

Internal Medicine

805 SAINT VINCENTS DR, SUITE 510
BIRMINGHAM, AL 35205

Jefferson County (205) 595-5504

DR. CHARLES CARNEL MD

Physical Medicine & Rehabilitation (Pain Medicine)

805 SAINT VINCENTS DR
BIRMINGHAM, AL 35205

Jefferson County (205) 939-3699

MR. TRENT NESSLER PT

Physical Therapist (Orthopedic)

805 SAINT VINCENTS DR, SUITE G100
BIRMINGHAM, AL 35205

Jefferson County (205) 239-1557

JOANN MICHALIK MAYS M.D.

Pediatrics

805 SAINT VINCENTS DR, SUITE 430
BIRMINGHAM, AL 35205

Jefferson County (205) 939-1250

MS. AMANDA M MCANNALLY ATC

Orthopaedic Surgery (Sports Medicine)

805 SAINT VINCENTS DR, SUITE 100
BIRMINGHAM, AL 35205

Jefferson County (205) 939-3699

EMILY BERNSTEIN TIDWELL CRNP

Nurse Practitioner (Family)

805 SAINT VINCENTS DR, SUITE 510
BIRMINGHAM, AL 35205

Jefferson County (205) 595-5504

MRS. EVE T SANTIAGO P.A.

Physician Assistant

805 SAINT VINCENTS DR, SUITE 100
BIRMINGHAM, AL 35205

Jefferson County (205) 939-3699

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 Jose Ortega's NPI number?

The NPI number for Jose Ortega is 1912974833. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Jose Ortega located?

Jose Ortega practices at 805 Saint Vincents Dr Suite 100, Birmingham, AL 35205. The listed phone number is (205) 939-3699.

What is Jose Ortega's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Jose Ortega enrolled in Medicare?

Yes. Jose 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.

Which organization bills Medicare for Jose Ortega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Ortega reassigns Medicare benefits to Stv Sports Medicine & Orthopedics LLC (Birmingham, AL). 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 Jose Ortega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Ortega accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jose 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.

When was this NPI record last updated?

The NPPES record for Jose Ortega was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.