Pneuma G. Ortega, MD
NPI 1912167834ActiveIndividual· Family Medicine· San Jose, CA
Family Medicine (MD) with County of Santa Clara and 1 other group, practicing in San Jose, California. Their prescriptions cost Medicare Part D more than their services did: $417,460 for 4,124 claims, against $61,065 paid for services in 2024. Novo Nordisk Inc was the largest of 13 companies reporting payments in 2025, $1,216 in all, mostly food and beverage. Lists Santa Clara Valley Medical Center as a hospital affiliation.
Overview
| NPI | 1912167834 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 13, 2008 |
| Last updated in NPPES | Jul 27, 2026 |
| Certified by provider | Jul 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A101636 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CA); Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 354 |
|---|---|
| Services billed | 848 across 23 procedure codes |
| Paid by Medicare | $61,065 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,124 · 8,432 30-day fills |
|---|---|
| Patients | 726 |
| Total drug cost | $417,460 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- County of Santa ClaraSan Jose, CA · 1,022 clinicians
- Top Care Medical Group IncSan Jose, CA · 6 clinicians
Hospital affiliation
- Santa Clara Valley Medical CenterSan Jose, CA
Other facilities
- Best Home Health Providers, IncHome health agency · Hayward, CA
- Focus HealthHome health agency · San Jose, CA
- Lorian HealthHome health agency · San Jose, CA
- Sequoia Home HealthHome health agency · Milpitas, CA
- Strive Home Health, LLCHome health agency · Livermore, CA
Industry payments (Open Payments)
- 2025$1,216 · 56 payments from 13 companies
- 2024$1,138 · 52 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $304.96 | 13 |
| Astrazeneca Pharmaceuticals LP | $185.80 | 11 |
| Glaxosmithkline, LLC. | $146.85 | 7 |
| Amgen Inc. | $120.17 | 5 |
| Bayer Healthcare Pharmaceuticals Inc. | $108.14 | 5 |
What the 2025 payments were for
- Food and Beverage$1,216 · 56 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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