DR. EDGAR TORRES-ORTEZ (M.D.) – Family Medicine Physician, NPI 1114465234
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
Provider Addresses for DR. EDGAR TORRES-ORTEZ (M.D.)
2151 MEETING ST. APT. 7107
LEXINGTON, KY 40509
Phone: (859) 550-3278
Type: Mailing
501 Madison Avenue
Scranton, PA 18510
Phone: (570) 343-2383
Type: Location
Bourbon Community Hospital, 9, Linville Drive, Paris, Bourbon County, Kentucky, 40361, United States
PARIS, KY 403612129
Phone: (859) 987-3600
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-04-20
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 |
|---|---|---|---|---|
| I20200420002850 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 80 | 46 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 68 | 61 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 60 | 51 | $0 |
| 99291 | Critical care, first 30-74 minutes | 46 | 28 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 34 | 23 | $0 |
Insurance plans in this area (ZIP 40509)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Infectious Disease, Internal Medicine | TN | |
| Internal Medicine | TN | |
| Internal Medicine, Infectious Disease | TN | |
| Internal Medicine | CA | |
| Physician Assistant | KY | |
| Internal Medicine | AL | |
| Internal Medicine | TN | |
| Internal Medicine | TN | |
| Internal Medicine, Family Practice | TN |
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