Doctor profile · Federal record
Dr. Pneuma Ortega, MD
Family Medicine Physician (CMS: Family Practice) · Emergency Medicine Physician · San Jose, CA
- NPI 1912167834
- Accepts Medicare
- MIPS 97.4 / 100 · 2023
- 29 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2820 Alum Rock Ave Ste 20
San Jose, CA 951275608
(408) 729-2900
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Profile last updated
- November 20, 2023
- Year of graduation
- 1997 — 29 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Wisconsin #51448
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912167834. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
186
Distinct HCPCS
3
Medicare allowed
$20,397
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99284 |
Emergency department visit with moderate level of medical decision making | 75 | 73 | $114 | |
99283 |
Emergency department visit with low level of medical decision making | 67 | 64 | $68 | |
99285 |
Emergency department visit with high level of medical decision making | 44 | 42 | $166 |
In context: peer comparison
Among 39 peers in San Jose Family Medicine Physician, average services per provider: 79. This provider delivers 2.4× the peer median.Open Payments
Industry payments received
All-time total
$1,138
Transactions
49
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ViiV Healthcare Company | 6 | $207.90 | |
| Novo Nordisk INC | 13 | $202.51 | |
| Lilly USA, LLC | 7 | $164.34 | |
| Amgen INC. | 4 | $85.00 | |
| Bayer Healthcare Pharmaceuticals INC. | 4 | $83.30 | |
| AstraZeneca Pharmaceuticals Lp | 3 | $54.45 | |
| Mylan Specialty L.P. | 2 | $52.40 | |
| Pfizer INC. | 2 | $46.64 | |
| Phathom Pharmaceuticals, INC. | 2 | $36.09 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $30.22 | |
| GlaxoSmithKline, LLC. | 1 | $27.15 | |
| Sanofi-Aventis U.S. LLC | 1 | $25.62 | |
| Astellas Pharma US INC | 1 | $25.11 | |
| Cmp Pharma, INC. | 1 | $25.00 | |
| Exact Sciences Corporation | 1 | $21.41 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
218
Patients
214
Total drug cost
$2,355
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 46 | 45 | $190 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 41 | 41 | $665 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 23 | 23 | $524 |
| Atorvastatin Calcium | Generic | 22 | 21 | $385 |
| Tramadol Hcl | Generic | 22 | 21 | $41 |
| Levofloxacin | Generic | 18 | 17 | $89 |
| Metformin Hcl | Generic | 18 | 18 | $171 |
| Doxycycline Monohydrate | Generic | 14 | 14 | $239 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 14 | 14 | $49 |
Frequently asked questions
What is Dr. Pneuma Ortega's medical specialty?
Dr. Pneuma Ortega practices Family Medicine Physician in San Jose, CA.
Where does Dr. Pneuma Ortega practice?
Dr. Pneuma Ortega practices at 2820 Alum Rock Ave Ste 20, San Jose, CA 951275608. Office phone: 4087292900.
What is Dr. Pneuma Ortega's NPI?
Dr. Pneuma Ortega's National Provider Identifier (NPI) is 1912167834, issued by NPPES.
Does Dr. Pneuma Ortega accept Medicare assignment?
Yes. Dr. Pneuma Ortega accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pneuma Ortega commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with low level of medical decision making (HCPCS 99283); Emergency department visit with high level of medical decision making (HCPCS 99285). Source: CMS Medicare Physician & Other Practitioners file.