ERIK LILLEGRAVEN ORTEGA M.D.
NPI 1952508186
Psychiatry & Neurology - Neurology in Phoenix, AZ

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
240 W THOMAS RD STE 400, PHOENIX, AZ 85013(602) 406-6262(602) 406-6260 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erik Lillegraven Ortega M.d. NPPES

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

ERIK LILLEGRAVEN ORTEGA M.D. (NPI 1952508186) is an individual neurology provider in Phoenix, Arizona, licensed in Arizona (42039) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2003).

NPPES Registry Identity

NPI1952508186
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameERIK LILLEGRAVEN ORTEGACredential: M.D.
Location Address240 W THOMAS RD STE 400Phoenix, AZ 85013-4407
Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786
Fax(602) 406-6260
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2003
Enumeration DateJune 29, 2007
Last NPPES UpdateMay 2, 2023
NPPES CertifiedMay 2, 2023
NPI 1952508186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in AZ · 42039
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
240 W THOMAS RD STE 400, Phoenix, AZ 85013

Other Identifiers 1

Medicaid448447AZ

Accepted 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

Erik Lillegraven 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 ID6608921788
PECOS Enrollment IDI20090826000569, I20160609000202
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 15

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.

Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) G0453
Continuous intraoperative neurophysiology monitoring is a service where a specialist oversees your nervous system's function during surgery, from a nearby or remote location. This is done every 15 minutes and is focused solely on you. It helps ensure surgical safety by identifying any potential nervous system changes promptly.
333 services40 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.
139 services113 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.
86 services78 patients
Placement of skin electrodes and measurement of stimulated sites on arms and legs 95938
This procedure involves placing small pads (electrodes) on your arms and legs. These electrodes send gentle electric signals to specific areas, and the responses are measured. This helps assess the health of your nerves and muscles.
76 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
75 services33 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
53 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers11 claims11 services$921.50 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471
DME-Other DME · category DE001N
2 suppliers13 claims13 services$171.94 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier13 claims13 services$11.04 avg. paid by Medicare
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes K0739
DME-Other DME · category DE000N
2 suppliers13 claims33 services$16.51 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier13 claims13 services$203.98 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 7

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

Physician Assistant
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Nurse Practitioner (Family)
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Nurse Practitioner
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Physician Assistant (Medical)
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Dietitian, Registered
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Psychiatry & Neurology (Neurology)
240 W THOMAS RD STE 400
PHOENIX, AZ 85013
Psychiatry & Neurology (Neurology)
240 W THOMAS RD STE 400
PHOENIX, AZ 85013

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 Erik Ortega's NPI number?

The NPI number for Erik Ortega is 1952508186. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Erik Ortega located?

Erik Ortega practices at 240 W Thomas Rd Ste 400, Phoenix, AZ 85013. The listed phone number is (602) 406-6262.

What is Erik Ortega's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Erik Ortega enrolled in Medicare?

Yes. Erik 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 Erik Ortega accept?

Health plans from Blue Cross Blue Shield of Arizona list Erik 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 Erik Ortega was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.