CONNOR MORTIMER
NPI 1164084802
Physician Assistant in Lima, OH

Q: What is Connor Mortimer's NPI number?

The NPI number for Connor Mortimer is 1164084802. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Connor Mortimer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Connor Mortimer was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2019PECOS EnrolledAccepts Medicare Assignment

730 W MARKET ST STE 2K, LIMA, OH 45801(419) 996-5852(419) 996-5854 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2021, Jul 2, 2019 (2 updates tracked since 2019).

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About Connor Mortimer NPPES

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

CONNOR MORTIMER (NPI 1164084802) is an individual physician assistant in Lima, Ohio, licensed in Ohio (50.006693RX) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Grand Lake Health System, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164084802

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCONNOR MORTIMER

Location Address730 W MARKET ST STE 2KLima, OH 45801-4602

Mailing Address2636 N Moreland Blvd Apt 21Cleveland, OH 44120-1466 · (419) 979-8592

Phone(419) 996-5852

Fax(419) 996-5854

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 2, 2019

Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2021

✔ NPI 1164084802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.006693RX

Definition

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.

730 W MARKET ST STE 2K, Lima, OH 45801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Connor Mortimer 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 ID8921412529

PECOS Enrollment IDI20210121002832

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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

526 services470 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

200 services150 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

130 services126 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360032

Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County

Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360066

Location730 West Market StreetLima, OH 45801 · Allen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606

DME-Other DME · category DE013N

1 supplier33 claims33 services$2,305.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

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