Pneuma Ortega, MD
NPI 1912167834 · Family Medicine Physician · San Jose, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pneuma Ortega, MD is a Family Medicine Physician provider in San Jose, CA (NPI 1912167834).
Provider details
- NPI number
- 1912167834
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 51448 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 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
775 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 556 | $111 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 150 | $70 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 35 | $31 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 23 | $156 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 11 | $158 |
Typical Medicare-allowed amounts for these services range $31–$158 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 81 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 338 | 187 |
| Metformin Hcl | 256 | 140 |
| Losartan Potassium | 202 | 107 |
| Amlodipine Besylate | 182 | 107 |
| Omeprazole | 111 | 65 |
| Gabapentin | 110 | 59 |
| Amoxicillin/Potassium Clav |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,138 across 52 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
- 2008-06-13
- Last updated
- 2023-11-20
- Certified
- 2023-11-20
Frequently asked questions
- What is Pneuma Ortega's NPI number?
- Pneuma Ortega's National Provider Identifier (NPI) is 1912167834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pneuma Ortega's specialty?
- Pneuma Ortega is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pneuma Ortega located?
- Pneuma Ortega's practice location on file with NPPES is 2820 Alum Rock Ave Ste 20, San Jose, CA 95127-5608.
- What is Pneuma Ortega's phone number?
- The practice phone number listed in the NPPES registry for Pneuma Ortega is (408) 729-2900.
- Does Pneuma Ortega accept Medicare?
- Pneuma Ortega is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pneuma Ortega's NPI active?
- Yes — Pneuma Ortega's NPI (1912167834) is active in the NPPES registry as of the last update on 2023-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.