Active NPI 1346236940 Individual Practitioner Male Practitioner

Dr. Edward Brian Ortell , DO

Surgery • Ottumwa, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Ortell, DO is a certified Surgery practicing in Ottumwa, IA. With approximately 31 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 1995, Dr. Ortell delivers high-quality medical care to the local community at 1005 PENNSYLVANIA AVE.

Dr. Ortell is affiliated with Jefferson County Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1005 Pennsylvania Ave

Ottumwa, IA 525016413

Telephone 6416842927

Fax 6416842926

Associated Practice Facility / Clinic

🏢 Radiology Associates Of Ottumwa, P.c. Facility NPI 1104899863

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ottumwa, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs Matches City Avg

City Avg: 31.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Ottumwa, IA (452 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ortell (31 Years) 31 Yrs

Ottumwa Specialty Average (31.0 Years) 31.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	179	145	$135.00	$83.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	92	43	$76.52	$44.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	52	$80.00	$51.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	46	$994.00	$227.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	40	$253.28	$119.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$304.00	$118.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$199.00	$100.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	38	$762.87	$65.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$310.00	$154.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	12	$133.17	$72.10
43249 Balloon dilation of esophagus using an endoscope	18	17	$2220.00	$116.52
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$740.00	$164.68
45380 Biopsy of large bowel using an endoscope	14	14	$910.00	$108.72
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$828.58	$165.32
36589 Removal of central venous catheter for infusion	11	11	$309.00	$147.62
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$740.00	$164.10
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$186.00	$68.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	221	175	$135.00	$83.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	78	$80.00	$52.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	84	83	$994.00	$215.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$199.00	$103.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	27	$133.00	$73.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	55	51	$754.00	$59.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	30	$72.00	$46.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$304.00	$119.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$310.00	$152.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	30	$253.00	$121.26
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$740.00	$167.27
45380 Biopsy of large bowel using an endoscope	21	21	$910.00	$94.84
43249 Balloon dilation of esophagus using an endoscope	17	16	$2220.00	$115.11
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$186.00	$76.82
36589 Removal of central venous catheter for infusion	13	13	$309.00	$139.58
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1515.00	$644.44
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$137.00	$67.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	195	$135.00	$84.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	136	49	$72.00	$36.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	76	76	$994.00	$230.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$199.00	$104.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	40	$133.00	$67.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	52	$80.00	$53.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	60	58	$754.00	$63.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	47	$304.00	$121.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$310.00	$152.41
45380 Biopsy of large bowel using an endoscope	38	38	$910.00	$128.68
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	30	30	$740.00	$172.76
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	28	$37.00	$21.18
43249 Balloon dilation of esophagus using an endoscope	24	19	$2220.00	$102.89
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	20	17	$445.00	$75.36
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$186.00	$93.98
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$1515.00	$640.26
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	15	14	$1470.00	$193.92
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$740.00	$166.59
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$137.00	$68.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	316	221	$135.00	$85.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	161	57	$72.00	$36.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	144	141	$37.00	$20.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	92	$304.00	$122.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$199.00	$105.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	89	88	$994.00	$223.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	78	74	$743.03	$65.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$310.00	$156.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	31	$133.00	$65.45
99221 Initial hospital inpatient care per day, typically 30 minutes	52	49	$186.00	$94.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	37	$80.00	$53.02
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	25	25	$1515.00	$658.90
43249 Balloon dilation of esophagus using an endoscope	25	24	$2178.56	$114.38
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$740.00	$174.73
76937 Ultrasonic guidance for blood vessel access	22	21	$28.77	$14.34
45380 Biopsy of large bowel using an endoscope	19	19	$905.74	$120.13
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$740.00	$169.73
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	16	$2258.41	$301.91
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	15	$445.00	$80.00
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$740.00	$174.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	177	$135.00	$70.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	115	$286.14	$101.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	87	82	$647.00	$71.32
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	69	67	$37.00	$21.67
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	65	65	$994.00	$239.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$199.00	$101.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$307.17	$153.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	45	$80.00	$42.00
76937 Ultrasonic guidance for blood vessel access	42	39	$27.00	$13.62
45380 Biopsy of large bowel using an endoscope	27	27	$883.00	$128.34
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	25	25	$740.00	$169.34
43249 Balloon dilation of esophagus using an endoscope	24	24	$1702.00	$133.41
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$740.00	$176.20
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	20	20	$438.00	$80.67
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$561.00	$96.44
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	15	14	$1470.00	$254.21
36589 Removal of central venous catheter for infusion	13	13	$309.00	$146.52
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2237.00	$284.08
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1295.00	$680.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	218	174	$135.00	$69.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	110	$80.00	$42.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	80	$198.00	$102.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$199.00	$101.70
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	78	78	$994.00	$244.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	72	68	$647.00	$92.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$304.00	$153.18
76937 Ultrasonic guidance for blood vessel access	37	37	$27.00	$13.63
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	37	37	$740.00	$178.89
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$137.00	$71.77
43249 Balloon dilation of esophagus using an endoscope	22	19	$1702.00	$143.24
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$740.00	$170.59
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$2237.00	$311.53
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$1295.00	$666.62
45380 Biopsy of large bowel using an endoscope	18	18	$883.00	$164.16
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$438.00	$82.17
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$794.00	$246.80
10060 Simple or single drainage of skin abscess	14	13	$215.00	$111.65
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$561.00	$103.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	263	205	$135.00	$68.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	247	188	$80.00	$40.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$199.00	$100.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	100	96	$647.00	$101.88
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	89	89	$994.00	$239.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	57	$198.00	$99.93
76937 Ultrasonic guidance for blood vessel access	60	55	$27.00	$13.67
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	48	43	$2237.00	$311.51
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$137.00	$70.06
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	38	38	$740.00	$176.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$304.00	$153.78
45378 Diagnostic exam of large bowel using a flexible endoscope	33	33	$740.00	$175.26
45380 Biopsy of large bowel using an endoscope	26	26	$883.00	$189.86
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	25	25	$1295.00	$640.05
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	21	19	$1470.00	$225.09
36589 Removal of central venous catheter for infusion	13	13	$309.00	$152.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	250	180	$80.00	$38.71
99213 Established patient office or other outpatient visit, typically 15 minutes	222	185	$135.00	$65.61
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	94	94	$994.00	$234.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	80	80	$647.00	$93.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$199.00	$96.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	34	$72.00	$34.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	47	$198.00	$97.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$304.00	$145.94
45378 Diagnostic exam of large bowel using a flexible endoscope	36	36	$740.00	$172.29
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$137.00	$66.16
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	27	27	$1295.00	$635.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	21	$133.00	$64.41
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$2237.00	$284.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	22	$191.00	$91.88
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$740.00	$169.42
45380 Biopsy of large bowel using an endoscope	20	20	$883.00	$178.94
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$561.00	$82.60

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IA 3557

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License IA 3557

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1267864 (IA)

Commercial Insurance / Payer ID Wellmark Inc Bcbs Of Ia

34520 (IA)

Commercial Insurance / Payer ID Ia Health Solutions

212484 (IA)

Commercial Insurance / Payer ID John Deere Health

420681060B5 (IA)

Commercial Insurance / Payer ID Railroad Medicare

P00052611 (IA)

Commercial Insurance / Payer ID Triwest

H005 (IA)

Hospital & Practice Group Affiliations

Jefferson County Hospital

2000 S Main St, Fairfield, IA 525569572

Phone: 6414724111

Practice Associates & Co-Workers

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

27 Associated Practitioners

Dr. Norman Hutchison , MD

Ophthalmology

NPI 1023010618

Doctor of Medicine (M.D.)

Dr. Steven Quackenbush , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1023119120

Doctor of Medicine (M.D.)

Thomas Hoskins , PA

Physician Assistant

NPI 1043220924

Physician Assistant

Dr. Elvin Mccarl , MD

Radiology - Diagnostic Radiology

NPI 1073513776

Doctor of Medicine (M.D.)

Dr. Stanley Blew , MD

Internal Medicine

NPI 1093791030

Doctor of Medicine (M.D.)

Dr. Akhtar Ashraf , MD

Radiology - Diagnostic Radiology

NPI 1114928140

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

✅

NPI Profile Active January 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 09, 2017

Registered at 1005 PENNSYLVANIA AVE, OTTUMWA, IA 525016413 (Tel: 6416842927)

📍

Updated Business Mailing Address January 09, 2017

Registered at 1005 PENNSYLVANIA AVE, OTTUMWA, IA 525016413 (Tel: 6416842927)

👤

Provider Name / Credentials Updated January 09, 2017

Recorded as EDWARD ORTELL, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2017

Surgery (License #3557 in IA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2017

Colon & Rectal Surgery (License #3557 in IA)

🟢

Initial NPI Registration & Enumeration September 20, 2005

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: 1346236940

Entity Type:

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

Enumeration Date: September 20, 2005

Last Update: January 09, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1005 Pennsylvania Ave

Ottumwa, IA 525016413

Phone: 6416842927

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

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