Andrew Joseph Ortega, M.D.
Emergency Medicine Physician · Peoria, IL
Andrew Joseph Ortega, M.D. is an emergency medicine physician with a practice address in Peoria, Illinois, and NPI 1467808402, issued on May 9, 2016. Check the license on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Andrew Joseph Ortega
- Credential
- M.D.
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- A160873 CA
Self-reported in NPPES; status is on the state search - Practice location
- 530 NE Glen Oak Ave, Peoria, IL 61637
- Phone
- (309) 655-7257
- Enumerated
- May 9, 2016
- Record last updated
- Sep 19, 2022
- Medicaid ID
- 1467808402 CA
- Medicare enrollment
- Enrolled (PECOS I20200402001306); accepts Medicare assignment
- Medical or professional school
- Ohio State University College Of Medicine, 2016
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 3,291 in Illinois → Look up another NPI →
Also registered at 530 NE Glen Oak Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Susan Abraham, M.D.Internal Medicine Physician1598926818
- Angela AdamsOccupational Therapist1124564802
Verify Andrew Joseph Ortega in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional RegulationCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
70% more Medicare Part D claims than the average emergency medicine physician in 2024
385 Medicare Part D claims for 264 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims. 65 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen59 claims
- Meloxicam59 claims
- Doxycycline Hyclate32 claims
- Ondansetron Odt32 claims
- Cephalexin20 claims
- Amoxicillin-Clavulanate Potass14 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 84 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $177.96
5 payments; by number, the most common kind was food and beverage; the largest payer was Lightforce Orthodontics, Inc. The 12,335 providers of this specialty with any payment received $953.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
2 hospitals and group practices
- Community Hospital OF The Monterey PeninsulaMonterey, CA · Acute Care Hospitals4 of 5 stars
- Monterey Bay Observation MedicineMonterey, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Andrew Joseph Ortega among 3,291 emergency medicine physician records in Illinois
Andrew Joseph Ortega, M.D. is one of 3,291 emergency medicine physician records with a practice address in Illinois. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 65% of them.
- NPI issued2016 · 65% of these records are older, 32% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2016 · median 2012 among the 1,867 with a school on file
- Record last updated2022 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
138 emergency medicine physician records list a practice address in Peoria
They are 138 of the 4,621 NPPES records with a practice address in Peoria, and 3,291 emergency medicine physician records in Illinois.
All 3,291 in Illinois → Every provider in Peoria → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Lisa Barker, M.D.Peoria, IL 616371477580116
- James Brown, M.D.Peoria, IL 616371699704122
- Michael Cruz, M.D.Peoria, IL 616371295763787
- Troy Cutler, M.D.Peoria, IL 616371639108020
- Joanna Gardner, M.D.Peoria, IL 616371104852631
- John Hafner, M.D.Peoria, IL 616371255360715
- James Hubler, M.D.Peoria, IL 616371861428492
- Paul Matthews, M.D.Peoria, IL 616371619906146
Common questions
What is Andrew Joseph Ortega, M.D.'s NPI number?
Andrew Joseph Ortega, M.D.'s National Provider Identifier (NPI) is 1467808402, issued on May 9, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Andrew Joseph Ortega, M.D. located?
The NPPES record lists a practice address at 530 NE Glen Oak Ave, Peoria, IL, 61637. Phone: (309) 655-7257. Providers update this record themselves, so call before visiting.
How can I verify Andrew Joseph Ortega, M.D.'s license?
Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Andrew Joseph Ortega, M.D. prescribe under Medicare Part D?
In 2024, Andrew Joseph Ortega, M.D. had 385 Medicare Part D claims for 264 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
What is Andrew Joseph Ortega, M.D.'s MIPS final score?
The 2023 MIPS final score is 84 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.