DR. JUAN MANUEL ORTIZ (M.D.) – Pulmonary Disease Physician, NPI 1881621431
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,186 PULMONARY DISEASE in TX
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Provider Addresses for DR. JUAN MANUEL ORTIZ (M.D.)
1604, East 8th Street, Weslaco, Hidalgo County, Texas, 78596, United States
SUITE A
WESLACO, TX 785965587
Phone: (956) 447-5557
Fax: (956) 447-5747
Type: Mailing
PO BOX 6148
MCALLEN, TX 785026148
Phone: (956) 362-8677
Fax: (956) 362-7253
Type: Mailing
5501 S MCCOLL RD
EDINBURG, TX 785395503
Phone: (956) 362-8677
Fax: (956) 362-7253
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($42).
Total Amount
$167
General + Research + Ownership
Payments
9
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-09-30
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 |
|---|---|---|---|---|
| I20040930000244 | I | Pulmonary Disease | TX | 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 | 329 | 253 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 317 | 201 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 267 | 122 | $0 |
| 99291 | Critical care, first 30-74 minutes | 262 | 98 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 75 | 74 | $0 |
Insurance plans in this area (ZIP 78596)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | TX | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 14 | 14 |
| PULMONARY DISEASE | TX | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 21 | 21 |
| PULMONARY DISEASE | TX | 71010 | X-ray of chest, 1 view, front | 53 | 52 |
| PULMONARY DISEASE | TX | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 362 | 280 |
| PULMONARY DISEASE | TX | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 84 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Pulmonary Disease, Critical Care (Intensivists) | TX | |
| Critical Care (Intensivists), Pulmonary Disease | FL | |
| Nurse Practitioner | TX | |
| - | TX | |
| Pulmonary Disease, Critical Care (Intensivists) | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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