Carmen Padilla Ortiz, M.D.
NPI 1235167446 · Specialist · Manati, PR
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carmen Padilla Ortiz, M.D. is a Specialist provider in Manati, PR (NPI 1235167446).
Provider details
- NPI number
- 1235167446
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 7706 (PR)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
138 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 138 | $64 |
Typical Medicare-allowed amounts for these services range $64–$64 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 108 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 453 | 142 |
| Gabapentin | 376 | 100 |
| Levothyroxine Sodiumbrand: Synthroid | 360 | 70 |
| Sulindac | 341 | 111 |
| Famotidine | 301 | 73 |
| Amlodipine Besylate | 297 | 93 |
| Levothyroxine Sodium | 253 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2013-01-02
Frequently asked questions
- What is Carmen Padilla Ortiz's NPI number?
- Carmen Padilla Ortiz's National Provider Identifier (NPI) is 1235167446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carmen Padilla Ortiz's specialty?
- Carmen Padilla Ortiz is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Carmen Padilla Ortiz located?
- Carmen Padilla Ortiz's practice location on file with NPPES is 5 Calle Patriota Pozo, Manati, PR 00674-5055.
- What is Carmen Padilla Ortiz's phone number?
- The practice phone number listed in the NPPES registry for Carmen Padilla Ortiz is (787) 854-6716.
- Does Carmen Padilla Ortiz accept Medicare?
- Carmen Padilla Ortiz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carmen Padilla Ortiz's NPI active?
- Yes — Carmen Padilla Ortiz's NPI (1235167446) is active in the NPPES registry as of the last update on 2013-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.