DR. RYAN BRADLEY ESTACIO ORTIZO (M.D.) – Family Medicine Physician, NPI 1083173348
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. RYAN BRADLEY ESTACIO ORTIZO (M.D.)
4445 MAGNOLIA AVE OFC
RIVERSIDE, CA 925014199
Phone: (951) 788-3000
Type: Mailing
4435 BROCKTON AVE
RIVERSIDE, CA 925014004
Phone: (951) 682-9900
Type: Mailing
PO BOX 10069
SAN BERNARDINO, CA 924230069
Phone: (909) 335-4188
Type: Mailing
1300 E COOLEY DR
COLTON, CA 923243905
Phone: (909) 370-4100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,575.
Total Amount is formed as General ($1,575) + Research ($0) + Ownership ($0) = $1,575.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($340).
Total Amount
$1,575
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,575
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220804001827 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 35 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 42 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 23 | $0 |
| G0008 | Administration of influenza virus vaccine | 11 | 11 | $0 |
Insurance plans in this area (ZIP 92501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Hospitalist, Geriatric Medicine, Internal Medicine | CA | |
| Family Practice | CA | |
| Internal Medicine, Geriatric Medicine | CA | |
| Geriatric Medicine, Cardiovascular Disease (Cardiology), Internal Medicine | CA |
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