2026 NPPES data Pediatric Gastroenterology Physician NPI 1972725174 MD
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EUGENE VORTIA, MD

Pediatric Gastroenterology Physician in ROCKFORD, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
71
Medicare Part D claims · 29 beneficiaries · Pediatric Gastroenterology Physician avg: 69

What the federal data shows

EUGENE VORTIA, MD filed 71 Medicare Part D claims in 2023 as a Pediatric Gastroenterology Physician in ROCKFORD, Illinois.

71
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

EUGENE VORTIA, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

71 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

EUGENE VORTIA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about EUGENE VORTIA, MD?

Quality data not reported

NPI registry status

Active

Issued 05/03/2007

NPI 1972725174

Primary specialty

Pediatric Gastroenterology Physician

Niche

1,587 US NPIs in this specialty

Medicare Part D claims

71 3% vs specialty avg

2023 prescription claims

Specialty avg: 69

Specialty distribution in Illinois

How Pediatric Gastroenterology Physician compares to other specialties among Illinois providers

Illinois providers

Pediatric Gastroenterology Physician share within Illinois

1. Pediatric Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Gastroenterology Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Gastroenterology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

EUGENE VORTIA, MD is a Pediatric Gastroenterology Physician provider practicing in ROCKFORD, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1972725174. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

EUGENE VORTIA, MD appears in the CMS NPPES registry as a Pediatric Gastroenterology Physician provider holding MD credentials at 2300 N ROCKTON AVE, ROCKFORD, IL, 61103, with a listed phone of (815) 971-2000. NPI 1972725174 was issued on 05/03/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VORTIA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 71 prescription claims written by this provider, covering 29 Medicare beneficiaries and totaling roughly $5K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Gastroenterology Physician is a narrow specialty nationwide, with 1,587 enrolled providers across 50 states and an average of 69 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2300 N ROCKTON AVE
ROCKFORD, IL 61103

Provider Details

NPI 1972725174
Specialty Pediatric Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 05/03/2007

Hospital and facility affiliations

Facilities where EUGENE VORTIA, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MERCY HEALTH SYSTEM CORPORATION
JANESVILLE, WI
ROCKFORD HEALTH PHYSICIANS
ROCKFORD, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to EUGENE VORTIA, MD. To verify EUGENE VORTIA, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

71
Total Claims
$5K
Total Drug Cost
29
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
82
Total Day Supply
1,792
Generic Drug Cost
$864

Patient Demographics

Average Patient Age
75.7 years
Avg HCC Risk Score
2.24
Gender Split
48% female / 52% male

Pediatric Gastroenterology Physician Overview

How EUGENE VORTIA, MD fits within the Pediatric Gastroenterology Physician landscape nationally.

1,587
Pediatric Gastroenterology Physician Providers in US
50
States with Pediatric Gastroenterology Physician
69
Avg Claims per Provider

EUGENE VORTIA, MD's 71 claims are above the specialty average of 69.

Nearby Pediatric Gastroenterology Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as VORTIA.

Compare Pediatric Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EUGENE VORTIA, MD's specialty?
EUGENE VORTIA, MD specializes in Pediatric Gastroenterology Physician and practices in ROCKFORD, Illinois. Credentials: MD.
How much does EUGENE VORTIA, MD prescribe under Medicare Part D?
In 2023, EUGENE VORTIA, MD wrote 71 Medicare Part D claims totaling $5K in drug costs for 29 beneficiaries.
Where is EUGENE VORTIA, MD located?
EUGENE VORTIA, MD is located at 2300 N ROCKTON AVE, ROCKFORD, IL, 61103. Phone: (815) 971-2000.
What is EUGENE VORTIA, MD's NPI number?
EUGENE VORTIA, MD's National Provider Identifier (NPI) is 1972725174, issued on 05/03/2007.
How many Pediatric Gastroenterology Physician providers are there in the US?
There are 1,587 Pediatric Gastroenterology Physician providers across 50 states in the US. The average Pediatric Gastroenterology Physician provider writes 69 Medicare Part D claims per year.
Does EUGENE VORTIA, MD accept Medicare?
EUGENE VORTIA, MD appears in CMS Medicare data with 71 Part D claims and 29 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EUGENE VORTIA, MD's credentials?
EUGENE VORTIA, MD's NPI is 1972725174 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology