THOMAS ORTEL M.D.
NPI 1003990995
Internal Medicine - Hematology in Durham, NC

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas Ortel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS ORTEL M.D. (NPI 1003990995) is an individual hematology provider in Durham, North Carolina, licensed in North Carolina (37916) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Indiana University School Of Medicine (1985).

NPPES Registry Identity

NPI1003990995
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameTHOMAS ORTELCredential: M.D.
Location AddressERWIN RDDurham, NC 27710-0001
Mailing Address4117 N Roxboro St, Duke University Medical Center - Dumc 3422Durham, NC 27704-2121 · (919) 684-8111
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1985
Enumeration DateOctober 25, 2006
Last NPPES UpdateNovember 14, 2007
NPI 1003990995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in NC · 37916
Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

ERWIN RD, Durham, NC 27710

Other Identifiers 3

Medicare ID-Type Unspecified8964379NC
Medicare ID-Type Unspecified2159722NC
Medicare ID-Type UnspecifiedE84878

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas Ortel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103953443
PECOS Enrollment IDI20100419000717
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Coagulation function screening test with interpretation and report 85390
A coagulation function screening test is a type of blood test that checks how well your blood clots. It's important because clotting helps prevent excessive bleeding. The test results are interpreted and a report is provided to help guide your doctor's treatment plan.
105 services73 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services68 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
ERWIN RD
DURHAM, NC 27710
Physician Assistant
ERWIN RD
DURHAM, NC 27710
Pediatrics
ERWIN RD
DURHAM, NC 27710
Pathology (Anatomic Pathology)
ERWIN RD
DURHAM, NC 27710
Nurse Anesthetist, Certified Registered
ERWIN RD
DURHAM, NC 27710
Family Medicine
ERWIN RD
DURHAM, NC 27710
Internal Medicine
ERWIN RD
DURHAM, NC 27710
Nurse Anesthetist, Certified Registered
ERWIN RD
DURHAM, NC 27710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003990995, enumerated as an "individual" on October 25, 2006.

The provider is located at ERWIN RD DURHAM, NC 27710 and the phone number is (919) 620-4467.

Internal Medicine with taxonomy code 207RH0000X and a focus in Hematology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Thomas Ortel is affiliated with: DUKE UNIVERSITY HOSPITAL and DUKE REGIONAL HOSPITAL.