Juan Manuel Ortiz, M.D.
NPI 1881621431ActiveIndividual· Internal Medicine, Pulmonary Disease· Edinburg, TX
Internal Medicine, Pulmonary Disease (M.D.) in Edinburg, Texas, trained at University of Missouri, Columbia School of Medicine (class of 1985). Their prescriptions cost Medicare Part D more than their services did: $1,368,032 for 3,636 claims, against $153,040 paid for services in 2024. Merck Sharp & Dohme LLC was the largest of 6 companies reporting payments in 2025, $257.36 in all, mostly food and beverage.
Overview
| NPI | 1881621431 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 27, 2006 |
| Last updated in NPPES | Jun 5, 2025 |
| Certified by provider | Jun 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | L6134 | TX |
| Internal Medicine, Critical Care Medicine | 207RC0200X | L6134 | TX |
| Internal Medicine, Sleep Medicine | 207RS0012X | L6134 | TX |
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 - Pulmonary Disease (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 402 |
|---|---|
| Services billed | 1,485 across 48 procedure codes |
| Paid by Medicare | $153,040 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,636 · 4,728 30-day fills |
|---|---|
| Patients | 604 |
| Total drug cost | $1,368,032 |
| Generic share | 66% of claims |
Education and affiliations
| Medical school | University of Missouri, Columbia School of Medicine |
|---|---|
| Graduation year | 1985 |
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists) |
Medical groups
- Renaissance Medical FoundationEdinburg, TX · 181 clinicians
- Renaissance ICU GroupEdinburg, TX · 14 clinicians
- Renaissance Emergency Physicians,paEdinburg, TX · 11 clinicians
Hospital affiliations
- Doctors Hosptal at RenaissanceEdinburg, TX
- Starr County Memorial HospitalRio Grande City, TX
- Valley Regional Medical CenterBrownsville, TX
Industry payments (Open Payments)
- 2025$257.36 · 8 payments from 6 companies
- 2024$146.53 · 8 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $123.31 | 1 |
| Glaxosmithkline, LLC. | $47.50 | 3 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $26.39 | 1 |
| Regeneron Healthcare Solutions, Inc. | $23.52 | 1 |
| Lilly USA, LLC | $18.73 | 1 |
What the 2025 payments were for
- Food and Beverage$257.36 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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