Edgardo Rafael Ortiz Flores, M.D.
NPI 1184933996ActiveIndividual· Internal Medicine, Hematology & Oncology· Brunswick, ME
Internal Medicine, Hematology & Oncology (M.D.) with Kaiser Foundation Health Plan of Washington, practicing in Brunswick, Maine. Their prescriptions cost Medicare Part D more than their services did: $672,973 for 198 claims, against $4,801 paid for services in 2024. Abbvie Inc. reported $27.11 in payments in 2025, mostly food and beverage. Lists Metrohealth System as a hospital affiliation.
Overview
| NPI | 1184933996 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 28, 2010 |
| Last updated in NPPES | May 29, 2025 |
| Certified by provider | May 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hematology & Oncology Primary | 207RH0003X | 28108 | ME |
| Internal Medicine, Hematology & Oncology | 207RH0003X | 22956 | PR |
| Internal Medicine, Hematology & Oncology | 207RH0003X | MD-24293 | HI |
| Internal Medicine, Hematology & Oncology | 207RH0003X | A144166 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hematology/Oncology (CA); Practitioner - Hematology/Oncology (ME); Practitioner - Medical Oncology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 80 across 5 procedure codes |
| Paid by Medicare | $4,801 |
Part D prescriptions in 2024
| Prescriptions (claims) | 198 · 220 30-day fills |
|---|---|
| Patients | 64 |
| Total drug cost | $672,973 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Medical Oncology |
Medical group
- Kaiser Foundation Health Plan of WashingtonBellevue, WA · 1,526 clinicians
Hospital affiliation
- Metrohealth SystemCleveland, OH
Industry payments (Open Payments)
- 2025$27.11 · 1 payment from 1 company
- 2024$88.63 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $27.11 | 1 |
What the 2025 payments were for
- Food and Beverage$27.11 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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