Robert Ortiz, M.D.
NPI 1255384418 · Endocrinology, Diabetes & Metabolism Physician · Highland, NY
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Robert Ortiz, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Highland, NY (NPI 1255384418).
Provider details
- NPI number
- 1255384418
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 212041 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
1,604 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,593 | $136 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 11 | $180 |
Typical Medicare-allowed amounts for these services range $136–$180 (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 · 73 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 812 | 194 |
| Metformin Hcl | 525 | 139 |
| Levothyroxine Sodiumbrand: Synthroid | 247 | 53 |
| Insulin Degludecbrand: Tresiba Flextouch U-200 | 239 | 69 |
| Semaglutidebrand: Ozempic | 227 | 55 |
| Glimepiride | 207 | 54 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,055 across 56 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
- 2006-05-18
- Last updated
- 2019-12-03
Frequently asked questions
- What is Robert Ortiz's NPI number?
- Robert Ortiz's National Provider Identifier (NPI) is 1255384418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Ortiz's specialty?
- Robert Ortiz is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Robert Ortiz located?
- Robert Ortiz's practice location on file with NPPES is 29 Church St, Highland, NY 12528-1401.
- What is Robert Ortiz's phone number?
- The practice phone number listed in the NPPES registry for Robert Ortiz is (845) 691-4600.
- Does Robert Ortiz accept Medicare?
- Robert Ortiz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Robert Ortiz's NPI active?
- Yes — Robert Ortiz's NPI (1255384418) is active in the NPPES registry as of the last update on 2019-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.