Active NPI 1336109479 Individual Practitioner Male Practitioner

Dr. Jose Manuel Ortega , MD

Surgery • Humble, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jose Ortega, MD is a certified Surgery practicing in Humble, TX. With approximately 39 years of clinical experience since graduating from University Of Texas Medical School At Houston in 1987, Dr. Ortega delivers high-quality medical care to the local community at 18955 N MEMORIAL DR STE 480.

Dr. Ortega accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of gallbladder with x-ray study of bile ducts using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18955 N Memorial Dr Ste 480

Humble, TX 773384399

Telephone 2813195319

Fax 2813194424

Associated Practice Facility / Clinic

🏢 Jose M. Ortega, M.d., Facs, P.a. Facility NPI 1407128655

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Humble, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +3.8 yrs vs City Avg

City Avg: 35.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Humble, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ortega (39 Years) 39 Yrs

Humble Specialty Average (35.2 Years) 35.2 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	66	66	$150.00	$112.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$185.00	$164.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	25	$110.00	$108.30
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	26	26	$913.46	$720.25
49650 Repair of groin hernia using an endoscope	21	21	$714.29	$464.15
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$86.00	$84.69

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	82	82	$150.00	$114.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$185.00	$165.91
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	23	23	$913.04	$718.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$110.00	$108.32
49650 Repair of groin hernia using an endoscope	21	21	$657.14	$470.56
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$86.00	$84.62

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	105	105	$150.00	$115.59
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	27	27	$896.30	$692.08
49650 Repair of groin hernia using an endoscope	27	26	$677.78	$483.37
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$86.00	$85.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$110.00	$109.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$185.00	$172.02

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	117	117	$150.00	$116.54
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$86.00	$85.51
49650 Repair of groin hernia using an endoscope	24	24	$714.58	$514.55
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	24	24	$900.00	$689.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$110.00	$110.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$185.00	$157.79

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	85	85	$150.00	$110.86
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$86.00	$77.15
49650 Repair of groin hernia using an endoscope	24	24	$670.83	$445.81
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$900.00	$734.08

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	114	114	$150.00	$108.32
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$86.00	$75.27
49650 Repair of groin hernia using an endoscope	29	29	$665.52	$424.92
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$897.37	$722.06

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	106	106	$150.00	$103.19
99213 Established patient office or other outpatient visit, typically 15 minutes	46	40	$86.00	$69.85
49650 Repair of groin hernia using an endoscope	22	22	$695.45	$421.52
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$891.18	$631.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$110.00	$98.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$185.00	$157.34

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	139	138	$150.00	$101.11
99213 Established patient office or other outpatient visit, typically 15 minutes	45	43	$86.00	$68.44
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	30	30	$880.00	$617.52
49650 Repair of groin hernia using an endoscope	29	29	$691.38	$449.38

Medical Specialties & State Licenses

CMS Verified: 2024-02-15

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX H4590

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

138990002 (TX)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 15, 2024

Registered at 18955 N MEMORIAL DR STE 480, HUMBLE, TX 773384399 (Tel: 2813195319)

📍

Updated Business Mailing Address February 15, 2024

Registered at 18955 N MEMORIAL DR STE 480, HUMBLE, TX 773384399 (Tel: 2813195319)

✅

NPI Profile Active July 12, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2007

Registered at 18955 N MEMORIAL DR, SUITE 480, HUMBLE, TX 773384399 (Tel: 2813195319)

📍

Updated Business Mailing Address July 12, 2007

Registered at 18955 N MEMORIAL DR, SUITE 480, HUMBLE, TX 773384399 (Tel: 2813195319)

👤

Provider Name / Credentials Updated July 12, 2007

Recorded as JOSE ORTEGA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2007

Surgery (License #H4590 in TX)

🟢

Initial NPI Registration & Enumeration March 24, 2006

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: 1336109479

Entity Type:

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

Enumeration Date: March 24, 2006

Last Update: February 15, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

18955 N Memorial Dr Ste 480

Humble, TX 773384399

Phone: 2813195319

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.