Active NPI 1336211549 Individual Practitioner Female Practitioner

Carrie S Fortman , PA-C

Physician Assistant • Elgin, IL

Professional Overview & Biography Verified Profile Summary

Carrie Fortman, PA-C is a registered healthcare professional specializing in Physician Assistant in Elgin, IL. Practice services are available at 1600 N RANDALL RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 N Randall Rd

Elgin, IL 60123

Telephone 8472145100

Fax 8472895579

Associated Practice Facility / Clinic

🏢 Midwest Oncology Hematology Ltd Facility NPI 1477691640

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Elgin, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.9 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

90 Specialists

Practicing in Elgin, IL (4958 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	115	$194.00	$112.71
83036 Hemoglobin A1C level	80	68	$58.00	$9.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$311.00	$147.09
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	42	33	$121.00	$30.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	302	188	$194.00	$114.80
83036 Hemoglobin A1C level	138	93	$58.00	$9.59
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	63	47	$121.00	$31.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$311.00	$152.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$205.00	$95.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	95	$194.00	$118.29
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$123.00	$83.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$270.00	$120.91
83036 Hemoglobin A1C level	17	17	$58.00	$9.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	157	$194.00	$99.25
99213 Established patient office or other outpatient visit, typically 15 minutes	56	52	$123.00	$68.83
G0008 Administration of influenza virus vaccine	42	42	$38.00	$17.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$225.00	$105.89
90662 Influenza vaccine split virus, preservative free	37	37	$65.00	$60.82
99443 Telephone medical discussion with physician, 21-30 minutes	29	27	$250.00	$99.37
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$96.00	$14.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$165.00	$119.50
G0009 Administration of pneumococcal vaccine	18	18	$38.00	$17.73
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$341.00	$156.15
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$175.00	$68.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	206	$194.00	$97.24
99213 Established patient office or other outpatient visit, typically 15 minutes	105	84	$123.00	$67.07
G0008 Administration of influenza virus vaccine	33	33	$38.00	$17.39
90662 Influenza vaccine split virus, preservative free	29	29	$65.00	$54.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$384.00	$181.49
93000 Routine ekg using at least 12 leads including interpretation and report	27	27	$96.00	$15.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$225.00	$105.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$311.00	$149.14
G0009 Administration of pneumococcal vaccine	17	17	$38.00	$17.39
83036 Hemoglobin A1C level	16	13	$58.00	$10.57
81003 Automated urinalysis test	13	12	$23.00	$2.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$268.00	$131.44
90670 Pneumococcal vaccine for injection into muscle	11	11	$300.36	$209.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	278	252	$194.00	$96.02
99213 Established patient office or other outpatient visit, typically 15 minutes	124	114	$123.00	$64.59
G0008 Administration of influenza virus vaccine	27	27	$38.00	$20.67
90662 Influenza vaccine split virus, preservative free	25	25	$46.00	$45.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$225.00	$104.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$311.00	$139.76
G0009 Administration of pneumococcal vaccine	12	12	$38.00	$21.46
90670 Pneumococcal vaccine for injection into muscle	12	12	$292.00	$199.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	478	376	$194.00	$95.63
99213 Established patient office or other outpatient visit, typically 15 minutes	158	138	$123.00	$65.22
81003 Automated urinalysis test	41	39	$23.00	$3.02
69210 Removal of impacted ear wax	31	31	$149.00	$44.50
G0008 Administration of influenza virus vaccine	16	16	$38.00	$26.65
90662 Influenza vaccine split virus, preservative free	16	16	$42.00	$41.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$225.00	$103.11
G0009 Administration of pneumococcal vaccine	13	13	$38.00	$26.65
90670 Pneumococcal vaccine for injection into muscle	12	12	$292.00	$185.95
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$96.00	$15.33

Medical Specialties & State Licenses

CMS Verified: 2020-03-11

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085001080

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Group Ptan

206147 (IL)

Commercial Insurance / Payer ID Medicare Individual Ptan

F400138108 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Karen Catching , MD

Internal Medicine

NPI 1336219682

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2020

Physician Assistant (License #085001080 in IL)

📍

Updated Practice Location July 17, 2018

Registered at 1600 N RANDALL RD, ELGIN, IL 60123 (Tel: 8472145100)

📍

Updated Business Mailing Address July 17, 2018

Registered at 1600 N RANDALL RD, ELGIN, IL 601237803 (Tel: 8472145100)

✅

NPI Profile Active October 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 23, 2014

Registered at 501 THORNHILL DR, CAROL STREAM, IL 601882793 (Tel: 6306683210)

📍

Updated Business Mailing Address October 23, 2014

Registered at 501 THORNHILL DR, CAROL STREAM, IL 601882793 (Tel: 6306683210)

👤

Provider Name / Credentials Updated October 23, 2014

Recorded as CARRIE FORTMAN, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Internal Medicine (License #085001080 in IL)

🟢

Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336211549

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 14, 2006

Last Update: March 11, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1600 N Randall Rd

Elgin, IL 601237803

Phone: 8472145100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.