DEMETRIO ORTIZ JR. QUISMORIO (PA C) – Physician Assistant, NPI 1760493191
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for DEMETRIO ORTIZ JR. QUISMORIO (PA C)
341, Magnolia Avenue, Corona, Riverside County, California, 92879, United States
SUITE 101
CORONA, CA 928793330
Phone: (951) 735-6060
Fax: (951) 735-4510
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2008-12-04
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 |
|---|---|---|---|---|
| I20081204000278 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 778 | 121 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 285 | 166 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 252 | 96 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 84 | 74 | $0 |
| 73560 | X-ray of knee, 1-2 views | 40 | 33 | $0 |
Insurance plans in this area (ZIP 92879)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CA | 27447 | Repair of knee joint | 30 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CA | |
| Orthopedic Surgery | MA | |
| Orthopedic Surgery | CA | |
| Physical Therapist In Private Practice | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Physician Assistant | CA |
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