DR. KAREN T FORTMAN O.D.
NPI 1205898145
Optometrist in Sidney, OH
About Dr. Karen T Fortman O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAREN T FORTMAN O.D. (NPI 1205898145) is an individual optometrist in Sidney, Ohio, licensed in Ohio (4599) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Karen T Fortman O.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.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45365 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Karen Fortman's NPI number?
The NPI number for Karen Fortman is 1205898145. It was assigned to this individual provider in the NPPES registry on April 5, 2006.
Where is Karen Fortman located?
Karen Fortman practices at 1086 Fairington Dr, Sidney, OH 45365. The listed phone number is (937) 492-9197.
What is Karen Fortman's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Karen Fortman enrolled in Medicare?
Yes. Karen Fortman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Karen Fortman accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 5 other insurers list Karen Fortman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Karen Fortman was last updated on November 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
