2026 NPPES data Facial Plastic Surgery Physician NPI 1740231810 MD
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JOHN ORTEGA, MD

Facial Plastic Surgery Physician in ELMHURST, 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
3K
Medicare Part D claims · 761 beneficiaries · Facial Plastic Surgery Physician avg: 428
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3557/100
▲ 8 pts above national avg 83.1 · [object Object]
What the federal data reveals: JOHN ORTEGA, MD is a Facial Plastic Surgery Physician ([object Object]) practicing in ELMHURST, Illinois with a Medicare Part D prescribing footprint of 3K claims across 761 beneficiaries — 1% brand-name prescribing . Their CMS MIPS Final Score of 91.3557/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOHN ORTEGA, MD reported a CMS MIPS final score of 91.3557 out of 100, above the 83.1 national average, and filed 2,746 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOHN ORTEGA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOHN ORTEGA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/13/2006

NPI 1740231810

Primary specialty

Facial Plastic Surgery Physician

Niche

607 US NPIs in this specialty

Medicare Part D claims

2,746 542% vs specialty avg

2023 prescription claims

Specialty avg: 428

MIPS final score

91.3557/100 8.255700000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Facial Plastic Surgery Physician compares to other specialties among Illinois providers

Illinois providers

Facial Plastic Surgery Physician share within Illinois

1. Facial Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Facial Plastic Surgery Physician share within Illinois

Medicare quality performance — MIPS

JOHN ORTEGA, MD's 2023 MIPS final score plotted against the Facial Plastic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
91.3557/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Facial Plastic Surgery Physician) — 91.3557/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Facial Plastic Surgery Physician) — 91.3557/100 vs national avg 83.1

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).

JOHN ORTEGA, MD is a Facial Plastic Surgery Physician provider practicing in ELMHURST, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1740231810. 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.

JOHN ORTEGA, MD appears in the CMS NPPES registry as a Facial Plastic Surgery Physician provider holding MD credentials at 1200 S YORK ST STE 4180, ELMHURST, IL, 60126, with a listed phone of (331) 221-9004. NPI 1740231810 was issued on 05/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ORTEGA 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 2,746 prescription claims written by this provider, covering 761 Medicare beneficiaries and totaling roughly $59K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 1.5%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3557/100 for the 2023 performance year (Quality 82.7114), compared with the national average of 83.1.

Facial Plastic Surgery Physician is a narrow specialty nationwide, with 607 enrolled providers across 47 states and an average of 428 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

1200 S YORK ST STE 4180
ELMHURST, IL 60126

Provider Details

NPI 1740231810
Specialty Facial Plastic Surgery Physician
Credentials MD
Gender Male
NPI Issued 05/13/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

91.3557
Final Score
Avg: 83.1
82.7114
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JOHN ORTEGA, 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.

ENDEAVOR HEALTH MEDICAL GROUP
ELMHURST, 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 JOHN ORTEGA, MD. To verify JOHN ORTEGA, 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.

Brand vs generic prescribing mix · Generic-heavy

JOHN ORTEGA, MD — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 2,746 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

2,746
Total Claims
$59K
Total Drug Cost
761
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,440
Total Day Supply
121,315
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$916
Generic Drug Cost
$58K
Opioid Claims
42 (1.5% rate)
Antibiotic Claims
228

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.17
Gender Split
61% female / 39% male
Age Distribution
<65: 70, 65-74: 368, 75-84: 259, 85+: 64

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Montelukast Sodium
943
Azelastine Hcl
367
Fluticasone Propionate
301
Glycopyrrolate
172
Meloxicam
134
Cyclobenzaprine Hcl
110
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
77
Omeprazole
63
Cephalexin
59
Methylprednisolone
55

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Facial Plastic Surgery Physician Overview

How JOHN ORTEGA, MD fits within the Facial Plastic Surgery Physician landscape nationally.

607
Facial Plastic Surgery Physician Providers in US
47
States with Facial Plastic Surgery Physician
428
Avg Claims per Provider

JOHN ORTEGA, MD's 2,746 claims are above the specialty average of 428.

Nearby Facial Plastic Surgery Physician Providers in Illinois

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

Compare Facial Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN ORTEGA, MD's specialty?
JOHN ORTEGA, MD specializes in Facial Plastic Surgery Physician and practices in ELMHURST, Illinois. Credentials: MD.
How much does JOHN ORTEGA, MD prescribe under Medicare Part D?
In 2023, JOHN ORTEGA, MD wrote 2,746 Medicare Part D claims totaling $59K in drug costs for 761 beneficiaries.
What is JOHN ORTEGA, MD's Medicare quality score?
JOHN ORTEGA, MD has a CMS MIPS Final Score of 91.3557/100 (Quality: 82.7114). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN ORTEGA, MD located?
JOHN ORTEGA, MD is located at 1200 S YORK ST STE 4180, ELMHURST, IL, 60126. Phone: (331) 221-9004.
What is JOHN ORTEGA, MD's NPI number?
JOHN ORTEGA, MD's National Provider Identifier (NPI) is 1740231810, issued on 05/13/2006.
Does JOHN ORTEGA, MD prescribe more brand-name or generic drugs?
JOHN ORTEGA, MD's prescribing is 1% brand-name and 99% generic drugs by claim count, with $916 in brand drug costs.
Does JOHN ORTEGA, MD prescribe opioids?
Yes, JOHN ORTEGA, MD had 42 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Facial Plastic Surgery Physician providers are there in the US?
There are 607 Facial Plastic Surgery Physician providers across 47 states in the US. The average Facial Plastic Surgery Physician provider writes 428 Medicare Part D claims per year.
What drugs does JOHN ORTEGA, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN ORTEGA, MD's most frequently prescribed drugs include Montelukast Sodium, Azelastine Hcl, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN ORTEGA, MD accept Medicare?
JOHN ORTEGA, MD appears in CMS Medicare data with 2,746 Part D claims and 761 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN ORTEGA, MD's credentials?
JOHN ORTEGA, MD's NPI is 1740231810 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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