Medicare Enrolled

Dr. Marcus Ortega, MD

Obstetrics & Gynecology · Boston, MA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Speaking/Promotional
55 FRUIT ST, Boston, MA 02114
6177262000
In practice since 2013 (13 years)
NPI: 1205275385 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Ortega from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Ortega

Dr. Marcus Ortega is an obstetrics & gynecology specialist in Boston, MA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Ortega performed 4,993 Medicare services across 771 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ortega received a total of $14,612 from 13 pharmaceutical and/or device companies across 47 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in obstetrics & gynecology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Ortega is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 13 years in practice ▲ Top 1% volume in MA $14,612 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,993
Medicare services
Top 1% in MA for obstetrics & gynecology
771
Unique beneficiaries
$21
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~384 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Botox injection, per unit
An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered.
4,100 $5 $19
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
189 $10 $162
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
181 $3 $25
New patient office visit, complex (60-74 min) 114 $177 $990
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
91 $143 $763
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
43 $72 $387
Cystoscopy with chemical ablation of bladder
A procedure where a camera is used to examine the bladder and a chemical agent is applied to destroy abnormal tissue.
34 $342 $1,759
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
33 $103 $544
Non-needle muscle activity measurement of bladder and bowel openings
This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles.
27 $29 $760
Abdominal device insertion with pressure and urine flow study
A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate.
26 $173 $991
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
26 $97 $545
Complex urodynamic pressure measurement
A test that measures the pressure of urine flow in the bladder along with urethral and voiding pressures.
25 $337 $1,698
Bladder irrigation and/or instillation
This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder.
23 $64 $363
Electronic assessment of bladder emptying
A test that uses electronic monitoring to evaluate how well the bladder empties urine.
20 $6 $398
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
19 $213 $1,101
Non-rubber pessary
A non-rubber device inserted into the vagina to support pelvic organs.
17 $52 $252
Urethral sling procedure for female incontinence
A surgical procedure that creates a supportive sling around the urethra to help control urinary leakage in women.
14 $454 $3,137
Fitting and insertion of vaginal support device
A procedure to measure, fit, and insert a device designed to support vaginal structures.
11 $66 $326
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.7% high complexity
85.9% medium
13.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$14,612
Total received (2018-2024)
Avg $2,087/year across 7 years
Top 3% in MA for obstetrics & gynecology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
13
Companies
47
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$6,104 (41.8%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$5,268 (36.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,240 (22.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,880
2023
$3,459
2022
$8,286
2021
$445
2020
$59
2019
$312
2018
$171

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$1,563
Boston Scientific Corporation
$317
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Intuitive Surgical, Inc.
$6,000
Medtronic, Inc.
$3,335
Hologic Sales and Service, LLC
$1,575
Boston Scientific Corporation
$1,031
Axonics, Inc.
$849
Bolder Surgical, LLC
$675
Coloplast Corp
$321
Medtronic USA, Inc.
$255
Caldera Medical, Inc
$185
CooperSurgical, Inc.
$125
COLOPLAST CORP
$114
ABBVIE INC.
$100
Premier Dental Products Company
$46
Top 3 companies account for 74.7% of all-time payments
Associated products mentioned in payments ›
ADVANTAGE FIT · ALTIS · Advantage System · Altis · Axonics · BOTOX · Bulkamid · CoolSeal Generator · DAVINCI XI · Desara · ENAMELON TREATMENT GEL 4.0 oz (12) · Endosee · FLUENT FLUID MANAGEMENT SYSTEM · INTERSTIM · SOLYX · Solyx SIS System · TRUCLEAR · Upsylon
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (42%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in obstetrics & gynecology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for obstetrics & gynecology in MA.

Looking for an obstetrics & gynecology specialist in Boston?
Compare obstetricians & gynecologists in the Boston area by procedure volume, costs, and industry payment transparency.
Browse obstetricians & gynecologists nearby

Geographic Context

Obstetricians & gynecologists within 10 mi
751
Per 100K population
96.0
County median income
$92,859
Nearest hospital
MASSACHUSETTS GENERAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Ortega is a mixed practice specialist, with above-average Medicare volume (top 1% in MA), with speaking/promotional industry engagement in the top 3% of MA peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Ortega experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Ortega performed 4,100 botox injection, per unit services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Ortega receive payments from pharmaceutical companies?
Yes. Dr. Ortega received a total of $14,612 from 13 companies across 47 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Ortega's costs compare to other obstetricians & gynecologists in Boston?
Dr. Ortega's average Medicare payment per service is $21. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Ortega) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →