Physician

Shiara Melissa Ortiz-Pujols, MD

According to 2025 Medicare claims, Shiara Ortiz-Pujols, MD (NPI: 1376719617) practices preventive medicine in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Richmond, NY. This provider's primary affiliated billing organization is NORTH SHORE-LIJ MEDICAL PC (NPI: 1053688572; TIN: 113506359) and primary practice location at 10305-3408. Ortiz-Pujols is affiliated with the NewYork Quality Care (ACO ID: A2571) and Northwell Health ACO (ACO ID: A3030), participating under the MSSP model.

Ortiz-Pujols' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 60 traditional Medicare patients, billed 308 HCPCS/CPT codes, and received $23,065 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 380 prescription claims across 68 beneficiaries totaling $170,946 in drug costs, led by Mounjaro (Tirzepatide). Open Payments data shows 1 records totaling $95. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,699 to $170,946. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$12K$23K2020 Medicare payment: $4,518 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $23,065 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20201344$4,518
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
202460308$23,065

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$85K$171K2015 Drug cost: $1,699 (USD; Tot_Drug_Cst)2016 Drug cost: $283 (USD; Tot_Drug_Cst)2020 Drug cost: $37,868 (USD; Tot_Drug_Cst)2021 Drug cost: $12,886 (USD; Tot_Drug_Cst)2024 Drug cost: $170,946 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152153$1,699
20162330$283
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
202052127$37,868
20212659$12,886
2022N/RN/RN/R
2023N/RN/RN/R
202468380$170,946

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more4949$190
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more3476$116
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1418$80
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's55151$14

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MounjaroTirzepatide1273,582$129,589
OzempicSemaglutide27822$27,664
Metformin Hcl ErMetformin Hcl1264,853$804
Naltrexone HclNaltrexone Hcl16723$622
Bupropion XlBupropion Hcl16480$305

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$95Novo Nordisk Inc
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Shiara Melissa Ortiz-Pujols, MD?

Tedicare shows public-source Medicare data for Shiara Melissa Ortiz-Pujols, MD (NPI 1376719617), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Shiara Melissa Ortiz-Pujols, MD have ACO affiliation data?

Shiara Melissa Ortiz-Pujols, MD is shown with ACO affiliation data for NewYork Quality Care (MSSP, ACO ID A2571) and Northwell Health ACO (MSSP, ACO ID A3030).

What billing organization is linked to Shiara Melissa Ortiz-Pujols, MD?

Shiara Melissa Ortiz-Pujols, MD is linked to NORTH SHORE-LIJ MEDICAL PC (billing NPI 1053688572) in the available physician profile data.

Does Shiara Melissa Ortiz-Pujols, MD have Open Payments data?

Shiara Melissa Ortiz-Pujols, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.