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PAUL WORTMAN DDS
NPI 1275521205
Dentist - General Practice in Elkhorn, NE

Active since October 13, 2005PECOS Enrolled
20281 WIRT ST, ELKHORN, NE 68022(402) 289-3522(402) 289-0501 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul Wortman Dds NPPES

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

PAUL WORTMAN DDS (NPI 1275521205) is an individual general practice provider in Elkhorn, Nebraska, licensed in Nebraska (4861) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275521205
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NamePAUL WORTMANCredential: DDS
Location Address20281 WIRT STElkhorn, NE 68022-2694
Mailing Address20281 Wirt StElkhorn, NE 68022-2694 · (402) 289-3522 · Fax (402) 289-0501
Phone(402) 289-3522
Fax(402) 289-0501
Sole ProprietorYes
Enumeration DateOctober 13, 2005
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1275521205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NE · 4861
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

20281 WIRT ST, Elkhorn, NE 68022
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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 (PECOS)

Paul Wortman Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68022 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

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 Paul Wortman's NPI number?

The NPI number for Paul Wortman is 1275521205. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Paul Wortman located?

Paul Wortman practices at 20281 Wirt St, Elkhorn, NE 68022. The listed phone number is (402) 289-3522.

What is Paul Wortman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Paul Wortman enrolled in Medicare?

Yes. Paul Wortman is registered in the Medicare PECOS enrollment system.

What insurance does Paul Wortman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 14 other insurers list Paul Wortman 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 Paul Wortman was last updated on August 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.