DR. JORGE ANTONIO ONTIVEROS (M.D.) – Specialist, NPI 1295784007
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,474 INTERNAL MEDICINE in OK
Provider Addresses for DR. JORGE ANTONIO ONTIVEROS (M.D.)
13709 S SANTA FE AVE STE B
OKLAHOMA CITY, OK 731707327
Phone: (405) 794-4474
Fax: (888) 440-5383
Type: Mailing
PO BOX 678040
DALLAS, TX 752678040
Phone: (214) 320-7770
Type: Mailing
820 E CARTWRIGHT RD STE 100
MESQUITE, TX 751496063
Phone: (214) 320-7600
Type: Location
10705, Plano Road, Lake Highlands, Dallas, Dallas County, Texas, 75238, United States
SUITE #200
DALLAS, TX 752385343
Phone: (214) 553-8545
Fax: (214) 559-9010
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $1,344.
Total Amount is formed as General ($1,344) + Research ($0) + Ownership ($0) = $1,344.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Lilly USA, LLC ($294).
Total Amount
$1,344
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,344
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $294 |
| Novo Nordisk Inc | $198 |
| AstraZeneca Pharmaceuticals LP | $191 |
| PFIZER INC. | $82 |
| Abbott Laboratories | $59 |
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: 2025-08-11
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 |
|---|---|---|---|---|
| I20250811000734 | I | Internal Medicine | OK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 32 | $0 |
Insurance plans in this area (ZIP 73170)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TX | 81002 | Urinalysis, manual test | 22 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| D E R M A T O L O G Y | OK | |
| - | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| - | OK | |
| General Practice | NY | |
| - | OK | |
| Family Practice | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| - | OK |
Reviews
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