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Deactivated NPI 1316076698 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Anthony Cortese , MD, PhD

Dermatology • Columbus, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Cortese has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 05, 2007
NPI Deactivation Date August 21, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Cortese, MD, PhD was a registered Dermatology practicing in Columbus, IN. Throughout an active medical career spanning 17 years, Dr. Cortese provided care at the practice location at 4020 W GOELLER BLVD until profile deactivation on 2024-08-21.

Historical Medicare Part B clinical services included established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4020 W Goeller Blvd

Columbus, IN 472018273

Telephone 8126690141
Fax 8882540293
Associated Practice Facility / Clinic
🏢 Access Counseling, Llc Facility NPI 1891819918

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Columbus, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Columbus, IN (235 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.6% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
109 55 $188.52 $69.76
17003 Destruction of precancer skin growth, 2-14 growths
97 13 $73.88 $5.15
17000 Destruction of skin growth
25 17 $303.63 $58.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $291.03 $101.27

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IN 01020422A

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Jacqueline Sutton , FNP-C

Nurse Practitioner - Family

NPI 1396167300

Family Nurse Practitioner (Certified)

NPI 1417132911

Doctor of Medicine (M.D.)

Gregory Dougan , PA-C

Physician Assistant

NPI 1568973717

Physician Assistant (Certified)

Kristen Hinte , PA

Physician Assistant

NPI 1619422466

Physician Assistant

Victoria Bates , PA-C

Physician Assistant

NPI 1710316062

Physician Assistant (Certified)

Taylor Hauersperger , PA-C

Physician Assistant

NPI 1790451573

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated August 21, 2024

Record deactivated on August 21, 2024

NPI Profile Active March 06, 2014

NPI status registered as active in NPPES database

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Updated Practice Location March 06, 2014

Registered at 4020 W GOELLER BLVD, COLUMBUS, IN 472018273 (Tel: 8126690141)

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Updated Business Mailing Address March 06, 2014

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639010)

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Provider Name / Credentials Updated March 06, 2014

Recorded as THOMAS CORTESE, M.D., PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2014

Dermatology (License #01020422A in IN)

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Initial NPI Registration & Enumeration March 05, 2007

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: 1316076698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2007
Last Update: March 06, 2014
Deactivation Date: August 21, 2024

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639010

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.