Oscar Ortiz, M.D.
NPI 1396719662 · Specialist · Toms River, NJ
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oscar Ortiz, M.D. is a Specialist provider in Toms River, NJ (NPI 1396719662).
Provider details
- NPI number
- 1396719662
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MA06148100 (NJ)
Specialties & taxonomies
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
5,105 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 2,001 | $18 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,477 | $142 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 484 | $101 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 398 | $202 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 395 | $38 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 95 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 1,401 | 379 |
| Metformin Hcl | 757 | 271 |
| Levothyroxine Sodiumbrand: Synthroid | 732 | 174 |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 586 | 264 |
| Semaglutidebrand: Ozempic | 472 | 154 |
| Insulin Glargine,hum.rec.anlogbrand: Toujeo Solostar | 430 | 177 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$47,969 across 238 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
- 2006-02-14
- Last updated
- 2020-03-06
- Certified
- 2020-03-06
Frequently asked questions
- What is Oscar Ortiz's NPI number?
- Oscar Ortiz's National Provider Identifier (NPI) is 1396719662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Oscar Ortiz's specialty?
- Oscar Ortiz is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Oscar Ortiz located?
- Oscar Ortiz's practice location on file with NPPES is 1163 Route 37 West, Toms River, NJ 08755-4794.
- What is Oscar Ortiz's phone number?
- The practice phone number listed in the NPPES registry for Oscar Ortiz is (732) 736-1000.
- Does Oscar Ortiz accept Medicare?
- Oscar Ortiz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Oscar Ortiz's NPI active?
- Yes — Oscar Ortiz's NPI (1396719662) is active in the NPPES registry as of the last update on 2020-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.