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DR. JOHN BURKE ORTOLANI M.D.
NPI 1760781330
Colon & Rectal Surgery in Buffalo, NY

Active since March 22, 2011PECOS EnrolledAccepts Medicare Assignment
90.03/100
CMS Quality Rating
100 HIGH ST, BUFFALO, NY 14203(716) 859-7330 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 16, 2017 (3 updates tracked since 2017).

About Dr. John Burke Ortolani M.d. NPPES

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

DR. JOHN BURKE ORTOLANI M.D. (NPI 1760781330) is an individual colon & rectal surgery provider in Buffalo, New York, licensed in New York (289134) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of State University Of New York At Buffalo School Of Medicine (2011).

NPPES Registry Identity

NPI1760781330
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. JOHN BURKE ORTOLANICredential: M.D.
Location Address100 HIGH STBuffalo, NY 14203-1126
Mailing Address846 Main St Apt 2iBuffalo, NY 14202-1442 · (716) 553-9983
Phone(716) 859-7330
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2011
Enumeration DateMarch 22, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1760781330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NY · 289134
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
100 HIGH ST, Buffalo, NY 14203
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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. John Burke Ortolani 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 ID3577797489
PECOS Enrollment IDI20170824000679
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 3

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
20 services20 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

90.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.88
Improvement Activities40
Cost63.01

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.

MS. DENISE MARIE DONAHUE NURSE PRACTITIONER
Nurse Practitioner
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
GENERAL PHYSICIAN SUB II PLLC
Specialist
100 HIGH ST, RM C421
BUFFALO, NY 14203
Erie County (716) 859-7607
DR. MATTHEW KYLE MOSER MD
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 218-1000
MIAN MOHAMMAD HAMMAS MD
Hospitalist
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
DR. GUY SHEMESH DUNETZ MD
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
JILL FRASCO DO
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
THOMAS WILLIAM JORDAN D.O.
Emergency Medicine
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-1993
KIM HUBER
Registered Nurse (Registered Nurse First Assistant)
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-2741

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 John Ortolani's NPI number?

The NPI number for John Ortolani is 1760781330. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is John Ortolani located?

John Ortolani practices at 100 High St, Buffalo, NY 14203. The listed phone number is (716) 859-7330.

What is John Ortolani's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is John Ortolani enrolled in Medicare?

Yes. John Ortolani 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.

Is John Ortolani affiliated with any hospitals?

According to CMS data, John Ortolani is affiliated with Kaleida Health and Erie County Medical Center.

When was this NPI record last updated?

The NPPES record for John Ortolani was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.