DR. KENNETH JOHN ORTIZ (M.D.) – Plastic Surgery Physician, NPI 1942377924
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
183 PLASTIC AND RECONSTRUCTIVE SURGERY in VA
Provider Addresses for DR. KENNETH JOHN ORTIZ (M.D.)
11958 W Broad St
Henrico, VA 232331007
Phone: (804) 364-1007
Fax: (804) 364-1019
Type: Location
9109 Stony Point Dr
Richmond, VA 232351979
Phone: (804) 828-3060
Fax: (804) 288-5222
Type: Location
1250 E Marshall St
Richmond, VA 232985023
Phone: (804) 827-1027
Fax: (804) 827-0701
Type: Location
620 JOHN PAUL JONES CIR
NMCP- PLASTIC SURGERY
PORTSMOUTH, VA 237082111
Phone: (757) 952-2883
Fax: (757) 953-0851
Type: Location
304 BAY COLONY DR
VIRGINIA BEACH, VA 234513818
Phone: (757) 613-7300
Type: Mailing
1001 E LEIGH ST
RICHMOND, VA 232985004
Phone: (804) 828-3060
Fax: (804) 288-5222
Type: Location
508, Piping Rock Drive, Great Bridge, Chesapeake, Virginia, 23322, United States
CHESAPEAKE, VA 233228894
Phone: (757) 953-2883
Fax: (757) 953-0851
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,151.
Total Amount is formed as General ($1,151) + Research ($0) + Ownership ($0) = $1,151.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($276).
Total Amount
$1,151
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $276 |
| Sanara MedTech Inc. | $202 |
| Integra LifeSciences Corporation | $177 |
| Davol Inc. | $163 |
| Avita Medical Americas, Llc | $97 |
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: 2020-08-06
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 |
|---|---|---|---|---|
| I20200806003070 | I | Plastic And Reconstructive Surgery | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23233)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Orthopedic Surgery | VA | |
| O T O L A R Y N G O L O G Y | VA | |
| Diagnostic Radiology | VA | |
| Nurse Practitioner | VA | |
| Qualified Audiologist | VA | |
| Radiation Oncology | VA | |
| O T O L A R Y N G O L O G Y | VA |
Reviews
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