Active NPI 1295902385 Individual Practitioner Male Practitioner

Dr. Raul Enrique Ortega , MD

Surgery - Vascular Surgery • Denton, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raul Ortega, MD is a certified Surgery - Vascular Surgery practicing in Denton, TX. With approximately 26 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2000, Dr. Ortega delivers high-quality medical care to the local community at 2505 SCRIPTURE ST STE 100.

Dr. Ortega is affiliated with Texas Health Physicians Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, ultrasound study of arm or leg veins with compression and maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2505 Scripture St Ste 100

Denton, TX 762012376

Telephone 9403233655

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Denton, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +7.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Denton, TX (377 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ortega (26 Years) 26 Yrs

Denton Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	151	151	$325.00	$104.63
99213 Established patient office or other outpatient visit, typically 15 minutes	128	108	$218.00	$86.08
93970 Ultrasound study of arm or leg veins with compression and maneuvers	88	83	$813.00	$167.47
93880 Ultrasound of both sides of head and neck blood flow	76	76	$789.00	$171.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	55	$455.00	$122.96
93925 Ultrasound of leg arteries or artery grafts	56	53	$997.00	$223.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	34	$131.00	$52.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	23	$129.00	$47.18
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	28	28	$534.00	$108.72
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	22	20	$143.00	$78.06
37226 Insertion of stent in arteries of leg	15	15	$1163.00	$451.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	11	$238.00	$75.26
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$224.00	$68.81
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	13	13	$3122.00	$331.12
76937 Ultrasonic guidance for blood vessel access	13	12	$56.92	$13.22
93926 Ultrasound of one leg arteries or artery grafts	12	11	$649.00	$120.74
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	12	11	$3677.00	$967.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$325.00	$105.49
99213 Established patient office or other outpatient visit, typically 15 minutes	111	88	$218.00	$86.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	70	$455.00	$123.34
93970 Ultrasound study of arm or leg veins with compression and maneuvers	70	64	$813.00	$170.80
93880 Ultrasound of both sides of head and neck blood flow	54	52	$789.00	$177.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	41	$131.00	$53.36
93925 Ultrasound of leg arteries or artery grafts	40	40	$997.00	$226.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	26	$129.00	$46.48
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	23	22	$143.00	$78.49
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$224.00	$69.27
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	15	$534.00	$114.05
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	14	13	$3677.00	$920.60
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	11	11	$3122.00	$330.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$325.00	$107.21
99213 Established patient office or other outpatient visit, typically 15 minutes	84	71	$218.00	$87.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	69	$132.13	$54.57
93970 Ultrasound study of arm or leg veins with compression and maneuvers	73	71	$813.00	$179.35
99221 Initial hospital inpatient care per day, typically 30 minutes	55	52	$335.00	$95.38
93880 Ultrasound of both sides of head and neck blood flow	54	52	$789.00	$178.62
93925 Ultrasound of leg arteries or artery grafts	53	49	$997.00	$234.93
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$224.00	$70.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$323.00	$124.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	19	$129.00	$36.92
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	21	17	$143.00	$79.65
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	12	$534.00	$115.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$500.00	$161.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	98	$325.00	$108.50
99213 Established patient office or other outpatient visit, typically 15 minutes	96	74	$220.23	$88.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	53	$135.36	$54.77
99221 Initial hospital inpatient care per day, typically 30 minutes	61	59	$335.00	$96.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	49	46	$813.00	$181.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	32	$129.00	$36.68
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	38	32	$143.00	$76.44
93925 Ultrasound of leg arteries or artery grafts	37	35	$997.00	$248.35
37226 Insertion of stent in arteries of leg	27	24	$27352.70	$440.58
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$224.00	$70.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$323.00	$126.50
93880 Ultrasound of both sides of head and neck blood flow	22	22	$789.00	$179.07
75625 Radiological supervision and interpretation X-ray of abdominal aorta	19	17	$142.00	$66.11
35301 Removal of blood clot and portion of artery of neck	15	14	$3556.00	$1065.81
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	15	11	$19680.00	$427.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	135	103	$218.00	$72.57
99202 New patient office or other outpatient visit, typically 20 minutes	100	99	$224.00	$73.51
93970 Ultrasound study of arm or leg veins with compression and maneuvers	59	51	$813.00	$184.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	33	$126.53	$38.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	44	$323.00	$106.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	33	$131.00	$44.12
99221 Initial hospital inpatient care per day, typically 30 minutes	34	31	$329.71	$100.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$325.00	$102.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	28	$442.50	$134.64
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	32	26	$143.00	$84.74
35301 Removal of blood clot and portion of artery of neck	30	28	$3556.00	$1072.53
93880 Ultrasound of both sides of head and neck blood flow	28	28	$789.00	$183.60
93925 Ultrasound of leg arteries or artery grafts	22	22	$997.00	$245.56
75625 Radiological supervision and interpretation X-ray of abdominal aorta	17	17	$142.00	$68.90
37226 Insertion of stent in arteries of leg	16	14	$28360.00	$466.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$500.00	$160.16
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	13	13	$3122.00	$382.12
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	11	$534.00	$114.11
93926 Ultrasound of one leg arteries or artery grafts	12	12	$649.00	$129.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	109	$218.00	$71.37
93970 Ultrasound study of arm or leg veins with compression and maneuvers	64	61	$758.13	$170.85
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$224.00	$73.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	52	$323.00	$103.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$325.00	$99.34
99221 Initial hospital inpatient care per day, typically 30 minutes	50	48	$323.00	$98.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	33	$125.00	$38.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$500.00	$158.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$131.00	$42.51
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	30	30	$3122.00	$347.38
35301 Removal of blood clot and portion of artery of neck	25	23	$3556.00	$1098.23
93880 Ultrasound of both sides of head and neck blood flow	22	21	$102.00	$39.42
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	19	19	$175.11	$84.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$439.00	$133.08
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$257.46	$33.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	155	96	$218.00	$69.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$500.00	$157.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	75	46	$125.00	$38.26
99221 Initial hospital inpatient care per day, typically 30 minutes	72	67	$323.00	$97.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	53	$323.00	$103.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$325.00	$102.86
35301 Removal of blood clot and portion of artery of neck	40	39	$3556.00	$1117.38
93970 Ultrasound study of arm or leg veins with compression and maneuvers	30	26	$257.93	$49.18
93880 Ultrasound of both sides of head and neck blood flow	28	27	$102.00	$39.28
93925 Ultrasound of leg arteries or artery grafts	23	20	$178.91	$37.93
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	23	22	$4298.52	$384.48
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	20	19	$295.50	$84.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$439.00	$133.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$131.00	$42.06
93970 Ultrasound study of arm or leg veins with compression and maneuvers	14	13	$347.57	$33.80
76937 Ultrasonic guidance for blood vessel access	12	12	$55.00	$14.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	128	87	$113.53	$40.63
99213 Established patient office or other outpatient visit, typically 15 minutes	102	79	$198.78	$69.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$298.72	$103.08
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$202.65	$70.31
99221 Initial hospital inpatient care per day, typically 30 minutes	32	28	$296.53	$98.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$377.85	$132.61
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	24	22	$6533.88	$331.13
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	21	19	$838.48	$113.53
35301 Removal of blood clot and portion of artery of neck	17	16	$3502.47	$1110.66
93970 Ultrasound study of arm or leg veins with compression and maneuvers	17	17	$813.00	$33.98
37226 Insertion of stent in arteries of leg	12	11	$11353.75	$455.02

Medical Specialties & State Licenses

CMS Verified: 2021-06-01

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License TX N7567

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

State License NJ 25MA08064900

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX N7567

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License NJ 25MA08064900

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License CA A104216

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Hospital & Practice Group Affiliations

Texas Health Physicians Group

3000 N Interstate 35, Denton, TX 762015119

Phone: 9408987000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Greta Kissel , AGACNP

Nurse Practitioner - Acute Care

NPI 1013407824

Adult-Gerontology Acute Care Nurse Practitioner

Hilda Martinez-Campos , FNP-C

Nurse Practitioner - Acute Care

NPI 1376013490

Family Nurse Practitioner (Certified)

Dr. Tung Cai , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1598710501

Doctor of Medicine (M.D.)

Lauren Hess , PA

Physician Assistant - Surgical

NPI 1598804478

Physician Assistant

Lori Baird , PA-C

Physician Assistant - Surgical

NPI 1609051010

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location June 01, 2021

Registered at 2505 SCRIPTURE ST STE 100, DENTON, TX 762012376 (Tel: 9403233655)

📍

Updated Business Mailing Address June 01, 2021

Registered at 2505 SCRIPTURE ST STE 100, DENTON, TX 762012376 (Tel: 9403233655)

✅

NPI Profile Active December 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2016

Registered at 2900 N I 35 STE 400, DENTON, TX 762015148 (Tel: 9403233655)

📍

Updated Business Mailing Address December 06, 2016

Registered at 2900 N I 35 STE 400, DENTON, TX 762015148 (Tel: 9403233655)

👤

Provider Name / Credentials Updated December 06, 2016

Recorded as RAUL ORTEGA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2016

Surgery (License #25MA08064900 in NJ)

🟢

Initial NPI Registration & Enumeration May 08, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295902385

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 08, 2008

Last Update: June 01, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2505 Scripture St Ste 100

Denton, TX 762012376

Phone: 9403233655

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.