CANDICE E ORTIZ (MD) – Diagnostic Radiology Physician, NPI 1093814139
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
106 DIAGNOSTIC RADIOLOGY in VT
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Provider Addresses for CANDICE E ORTIZ (MD)
Lewiston Post Office, 49, Ash Street, Lewiston, Androscoggin County, Maine, 04240, United States
LEWISTON, ME 042411849
Phone: (877) 845-2926
Fax: (207) 777-5363
Type: Mailing
Northeastern Vermont Regional Hospital, 1315, Hospital Drive, Saint Johnsbury, Caledonia County, Vermont, 05819, United States
ST JOHNSBURY, VT 058199210
Phone: (802) 748-7567
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: 2008-12-01
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 |
|---|---|---|---|---|
| I20081201000175 | I | Diagnostic Radiology | VT | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 494 | 464 | $0 |
| 77067 | Screening mammography | 407 | 407 | $0 |
| 77063 | Screening 3d breast mammography | 407 | 407 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 402 | 351 | $0 |
| 71045 | X-ray of chest, 1 view | 399 | 324 | $0 |
Insurance plans in this area (ZIP 04241)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| - | ME | |
| Diagnostic Radiology | MN |
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