Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRACE ORTMAN MD
NPI 1215391099
Emergency Medicine in Dekalb, IL

Active since April 07, 2016PECOS Enrolled
94.1/100
CMS Quality Rating
1 KISH HOSPITAL DR, DEKALB, IL 60115(815) 766-7334(815) 766-9768 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 29, 2026, Jul 1, 2020 (2 updates tracked since 2020).

About Grace Ortman Md NPPES

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

GRACE ORTMAN MD (NPI 1215391099) is an individual emergency medicine provider in Dekalb, Illinois, licensed in Illinois (036151500) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Kishwaukee Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1215391099
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameGRACE ORTMANCredential: MD
Location Address1 KISH HOSPITAL DRDekalb, IL 60115-9602
Mailing Address1 Kish Hospital DrDekalb, IL 60115-9602 · (815) 766-7334 · Fax (815) 766-9768
Fax(815) 766-9768
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2016
Enumeration DateApril 7, 2016
Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1215391099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036151500
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 KISH HOSPITAL DR, Dekalb, IL 60115

Secondary Practice Locations 5

Location 12 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 ext. 55620 · Fax (618) 529-0524
Location 2100 Dr Warren Tuttle DrHarrisburg, IL 62946-2718 · Phone (618) 253-0350 · Fax (618) 252-2425
Location 32301 Holmes StKansas City, MO 64108-2640 · Phone (816) 404-4175
Location 4201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 ext. 35130 · Fax (618) 351-4917
Location 5405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 ext. 65150 · Fax (618) 457-0469

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace Ortman Md 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 ID42503385
PECOS Enrollment IDI20200603001343
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Grace Ortman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
Emergency Medicine
3221 N SHEFFIELD AVE STE 100
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
192 services176 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
138 services130 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140286
LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60115 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapy Assistant
1 KISH HOSPITAL DR
DEKALB, IL 60115
Nurse Anesthetist, Certified Registered
1 KISH HOSPITAL DR
DEKALB, IL 60115
Hospitalist
1 KISH HOSPITAL DR
DEKALB, IL 60115
Nurse Practitioner
1 KISH HOSPITAL DR
DEKALB, IL 60115
Speech-Language Pathologist
1 KISH HOSPITAL DR
DEKALB, IL 60115
Emergency Medicine
1 KISH HOSPITAL DR
DEKALB, IL 60115
Hospitalist
1 KISH HOSPITAL DR
DEKALB, IL 60115
Dietitian, Registered
1 KISH HOSPITAL DR
DEKALB, IL 60115

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 Grace Ortman's NPI number?

The NPI number for Grace Ortman is 1215391099. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Grace Ortman located?

Grace Ortman practices at 1 Kish Hospital Dr, Dekalb, IL 60115. The listed phone number is (815) 766-7334.

What is Grace Ortman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Grace Ortman enrolled in Medicare?

Yes. Grace Ortman 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.

Which organizations bill Medicare for Grace Ortman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Ortman reassigns Medicare benefits to 2 organizations: Northwestern Medical Faculty Foundation (Carol Stream, IL) and Innovative IV Care, PLLC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Ortman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Grace Ortman affiliated with any hospitals?

According to CMS data, Grace Ortman is affiliated with Northwestern Medicine Kishwaukee Hospital.

When was this NPI record last updated?

The NPPES record for Grace Ortman was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.