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 this city , 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 |