Carlos Ortega, M.D.
NPI 1972525269 · Surgery Physician · Chicago, IL
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Ortega, M.D. is a Surgery Physician provider in Chicago, IL (NPI 1972525269).
Provider details
- NPI number
- 1972525269
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036100042 (IL)
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
54 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 41 | $75 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 13 | $126 |
Typical Medicare-allowed amounts for these services range $75–$126 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,796 across 4 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
Additional practice locations (1)
- 3825 Highland Ave Ste 303Downers Grove, IL 60515-1562Phone: (630) 275-7800Fax: (630) 241-9215
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Frequently asked questions
- What is Carlos Ortega's NPI number?
- Carlos Ortega's National Provider Identifier (NPI) is 1972525269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Ortega's specialty?
- Carlos Ortega is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Carlos Ortega located?
- Carlos Ortega's practice location on file with NPPES is 5140 N California Ave, Chicago, IL 60625-3645.
- What is Carlos Ortega's phone number?
- The practice phone number listed in the NPPES registry for Carlos Ortega is (773) 235-8887.
- Does Carlos Ortega accept Medicare?
- Carlos Ortega is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Ortega's NPI active?
- Yes — Carlos Ortega's NPI (1972525269) is active in the NPPES registry as of the last update on 2023-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.