Active NPI 1205139391 Individual Practitioner Male Practitioner

Dr. Carl Ortman , MD

Internal Medicine • Athens, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Carl Ortman, MD is a certified Internal Medicine practicing in Athens, OH. With approximately 16 years of clinical experience since graduating from Toledo Medical College in 2010, Dr. Ortman delivers high-quality medical care to the local community at 75 HOSPITAL DR.

Dr. Ortman is affiliated with Ohiohealth Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit 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's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

75 Hospital Dr
Suite 350

Athens, OH 457012857

Telephone 7405924491

Fax 7405924844

Associated Practice Facility / Clinic

🏢 Athens Surgery Center Ltd Facility NPI 1881686293

Medicare Profile & Education

Medical School

Toledo Medical College

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Athens, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -2.6 yrs vs City Avg

City Avg: 18.6 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Athens, OH (5516 Statewide)

Telehealth Adoption Rate

27.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ortman (16 Years) 16 Yrs

Athens Specialty Average (18.6 Years) 18.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	478	218	$182.58	$83.90
G2211 Visit 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's	266	154	$31.00	$16.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	134	134	$316.00	$15.94
11042 Removal of skin and tissue, 20.0 sq cm or less	110	30	$142.00	$59.16
99213 Established patient office or other outpatient visit, typically 15 minutes	96	59	$101.21	$57.99
G0008 Administration of influenza virus vaccine	34	34	$36.00	$30.40
90662 Influenza vaccine split virus, preservative free	33	33	$197.00	$81.52
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$43.00	$13.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$240.09	$127.86

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	471	234	$183.61	$76.32
11042 Removal of skin and tissue, 20.0 sq cm or less	123	36	$142.00	$56.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	116	116	$316.00	$36.40
99213 Established patient office or other outpatient visit, typically 15 minutes	97	61	$101.46	$60.35
G0008 Administration of influenza virus vaccine	47	47	$36.00	$28.74
90662 Influenza vaccine split virus, preservative free	46	46	$197.00	$67.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	14	$56.00	$38.41
G0009 Administration of pneumococcal vaccine	20	20	$43.00	$29.36
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$43.00	$13.04
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$794.00	$280.82

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	495	249	$183.87	$84.34
11042 Removal of skin and tissue, 20.0 sq cm or less	133	44	$142.00	$58.66
99213 Established patient office or other outpatient visit, typically 15 minutes	132	95	$109.56	$67.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$316.00	$46.45
G0008 Administration of influenza virus vaccine	48	47	$36.00	$27.97
90662 Influenza vaccine split virus, preservative free	46	45	$197.00	$67.97
G0009 Administration of pneumococcal vaccine	39	39	$43.00	$28.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	22	$56.74	$41.22
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$43.00	$13.93
0124A Fee covid-19 vac 13 res	24	24	$80.00	$36.91
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	23	23	$794.00	$255.35
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$161.00	$132.14

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	494	250	$184.53	$124.73
11042 Removal of skin and tissue, 20.0 sq cm or less	190	61	$142.00	$59.75
99213 Established patient office or other outpatient visit, typically 15 minutes	147	101	$107.19	$77.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$316.00	$130.04
G0008 Administration of influenza virus vaccine	42	42	$36.00	$16.19
90662 Influenza vaccine split virus, preservative free	39	39	$197.00	$65.26
99443 Telephone medical discussion with physician, 21-30 minutes	36	29	$187.00	$127.42
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	33	33	$477.00	$165.10
93000 Routine ekg using at least 12 leads including interpretation and report	32	30	$42.38	$14.40
99442 Telephone medical discussion with physician, 11-20 minutes	30	29	$126.00	$89.03
G0009 Administration of pneumococcal vaccine	20	20	$43.00	$16.18
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$161.00	$125.12
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	13	13	$46.00	$21.74
G0444 Annual depression screening, 5 to 15 minutes	12	12	$33.00	$18.00

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	450	263	$183.34	$104.84
11042 Removal of skin and tissue, 20.0 sq cm or less	157	49	$142.00	$61.84
99443 Telephone medical discussion with physician, 21-30 minutes	97	76	$186.52	$106.73
99442 Telephone medical discussion with physician, 11-20 minutes	93	76	$125.62	$73.43
99213 Established patient office or other outpatient visit, typically 15 minutes	89	58	$101.62	$57.77
G0008 Administration of influenza virus vaccine	47	47	$36.00	$16.07
90662 Influenza vaccine split virus, preservative free	43	43	$183.00	$60.98
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$39.94	$16.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$259.00	$143.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$238.50	$135.27

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	848	336	$184.89	$103.65
11042 Removal of skin and tissue, 20.0 sq cm or less	263	64	$142.00	$59.60
99213 Established patient office or other outpatient visit, typically 15 minutes	115	74	$101.35	$56.50
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	50	14	$55.00	$26.81
G0008 Administration of influenza virus vaccine	44	44	$45.00	$15.75
90682 Influenza vaccine, quadrivalent derived from recombinant dna	42	42	$139.00	$53.52
97597 Removal of tissue from wound, 20.0 sq cm or less	37	27	$49.00	$22.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$265.13	$144.17
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$39.00	$16.40
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	24	24	$245.67	$22.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$244.29	$134.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$477.00	$167.29
80305 Testing for presence of drug, read by direct observation	15	15	$27.00	$12.35
G0009 Administration of pneumococcal vaccine	15	15	$43.00	$15.75
81002 Urinalysis, manual test	12	12	$7.00	$3.41

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	830	330	$184.62	$101.52
11042 Removal of skin and tissue, 20.0 sq cm or less	262	59	$143.20	$60.75
99213 Established patient office or other outpatient visit, typically 15 minutes	168	100	$104.96	$58.17
G0008 Administration of influenza virus vaccine	70	70	$45.00	$19.30
90682 Influenza vaccine, quadrivalent derived from recombinant dna	67	67	$139.00	$49.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$272.33	$140.16
97597 Removal of tissue from wound, 20.0 sq cm or less	30	18	$49.00	$23.67
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$39.00	$14.83
G0009 Administration of pneumococcal vaccine	18	18	$38.72	$19.30
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	15	15	$240.00	$21.50
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$130.00	$101.31

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	900	325	$185.49	$101.14
11042 Removal of skin and tissue, 20.0 sq cm or less	178	47	$142.64	$59.32
99213 Established patient office or other outpatient visit, typically 15 minutes	98	76	$111.71	$61.63
G0008 Administration of influenza virus vaccine	50	48	$36.00	$23.76
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	46	46	$58.00	$18.65
G0009 Administration of pneumococcal vaccine	36	36	$36.00	$23.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	36	36	$99.00	$92.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$279.12	$151.68
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$39.00	$16.14
97597 Removal of tissue from wound, 20.0 sq cm or less	17	12	$49.00	$22.93
81002 Urinalysis, manual test	17	15	$7.00	$2.98
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	16	11	$370.00	$154.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$169.77	$92.52

Medical Specialties & State Licenses

CMS Verified: 2019-12-24

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35-122404

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0095687 (OH)

Commercial Insurance / Payer ID Medicare Provider Number

H267070

Hospital & Practice Group Affiliations

Ohiohealth Corporation

75 Hospital Dr, Athens, OH 457012867

Phone: 7405924491

Practice Associates & Co-Workers

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

8 Associated Practitioners

Regina Sayers , CNP

Nurse Practitioner - Family

NPI 1073945366

Certified Nurse Practitioner

Gina Wilberger , FNP

Nurse Practitioner - Family

NPI 1104368679

Family Nurse Practitioner

Dr. Geetha Conjeevaram , MD

Internal Medicine

NPI 1316940364

Doctor of Medicine (M.D.)

Dr. John Ortman , MD

Family Medicine

NPI 1710980768

Doctor of Medicine (M.D.)

Dr. Christopher Meyer , DO

Internal Medicine - Addiction Medicine

NPI 1841238094

Doctor of Osteopathic Medicine (D.O.)

Dr. Mark Rothstein , MD

Family Medicine

NPI 1932102985

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address December 24, 2019

Registered at 5450 FRANTZ RD STE 360, DUBLIN, OH 430164141 (Tel: 6145446155)

✅

NPI Profile Active April 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 05, 2016

Registered at 75 HOSPITAL DR, SUITE 350, ATHENS, OH 457012857 (Tel: 7405924491)

📍

Updated Business Mailing Address April 05, 2016

Registered at 75 HOSPITAL DR, SUITE 350, ATHENS, OH 457012857 (Tel: 7405924491)

👤

Provider Name / Credentials Updated April 05, 2016

Recorded as CARL ORTMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2016

Internal Medicine (License #35-122404 in OH)

🟢

Initial NPI Registration & Enumeration December 10, 2010

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: 1205139391

Entity Type:

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

Enumeration Date: December 10, 2010

Last Update: January 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5450 Frantz Rd Ste 360

Dublin, OH 430164141

Phone: 6145446155

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.