JOSE RAUL ORTEGA-GARCIA (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1992787402
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 SPORTS MEDICINE in FL
Provider Addresses for JOSE RAUL ORTEGA-GARCIA (M.D.)
Forest Hill Boulevard, Polo Lakes Apartments, Wellington, Palm Beach County, Florida, 33415, United States
STE 230
WELLINGTON, FL 334146156
Phone: (561) 798-6600
Fax: (561) 753-3328
Type: Mailing
440 N STATE ROAD 7 STE E
ROYAL PALM BEACH, FL 334113504
Phone: (561) 798-6600
Fax: (561) 753-3328
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2024-06-14 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($29).
Total Amount
$109
General + Research + Ownership
Payments
5
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $29 |
| Arthrex, Inc. | $24 |
| Ipsen Biopharmaceuticals, Inc | $24 |
| Vericel Corporation | $17 |
| ZIMVIE INC. | $15 |
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: 2011-03-22
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 |
|---|---|---|---|---|
| I20110322001070 | I | Sports Medicine | FL | 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 | 1,034 | 150 | $0 |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 960 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 306 | 162 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 212 | 145 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 169 | 113 | $0 |
Insurance plans in this area (ZIP 33414)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | FL | |
| Hand Surgery, Orthopedic Surgery | FL | |
| Vascular Surgery, Thoracic Surgery | FL | |
| Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| Sports Medicine, Orthopedic Surgery | FL | |
| - | FL | |
| Sports Medicine, Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Physician Assistant | FL |
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