Marcus Ortega, MD
NPI 1205275385 · Obstetrics & Gynecology Physician · Boston, MA
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcus Ortega, MD is a Obstetrics & Gynecology Physician provider in Boston, MA (NPI 1205275385).
Provider details
- NPI number
- 1205275385
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 274358 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,612 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 299 | $13 |
| Urinalysis, Manual Test81002 | 231 | $3 |
| Pelvic Exam99459 | 156 | $26 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 142 | $231 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 128 | $137 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 84 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 161 | 101 |
| Vibegronbrand: Gemtesa | 160 | 43 |
| Mirabegronbrand: Myrbetriq | 107 | 19 |
| Methenamine Hippurate | 38 | 11 |
| Oxycodone Hcl | 35 | 33 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 30 | 27 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,880 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-21
- Last updated
- 2019-07-02
Frequently asked questions
- What is Marcus Ortega's NPI number?
- Marcus Ortega's National Provider Identifier (NPI) is 1205275385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcus Ortega's specialty?
- Marcus Ortega is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Marcus Ortega located?
- Marcus Ortega's practice location on file with NPPES is 55 Fruit St, Boston, MA 02114-2696.
- What is Marcus Ortega's phone number?
- The practice phone number listed in the NPPES registry for Marcus Ortega is (617) 726-2000.
- Does Marcus Ortega accept Medicare?
- Marcus Ortega is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcus Ortega's NPI active?
- Yes — Marcus Ortega's NPI (1205275385) is active in the NPPES registry as of the last update on 2019-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.