MICHAEL MASON ORTMAN (MD) – Anesthesiology Physician, NPI 1114556248

MICHAEL MASON ORTMAN (MD) is a healthcare provider. based in Mesa, Arizona. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 73154 (AZ). The NPI Number for MICHAEL MASON ORTMAN (MD) is 1114556248

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL MASON ORTMAN (MD)
NPI
1114556248
Phone
(602) 343-7977
Address
PO BOX 41150
Enumeration Date
1 April 2020
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8669844502
Graduation Year
2020 (6 years ago)
PAC ID
7315347267
Group Practice PAC ID
1658675558
Professional Enrollment ID
I20240724001452
Address ID
AZ850134409PH350XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,343 ANESTHESIOLOGY in AZ

Provider Addresses for MICHAEL MASON ORTMAN (MD)

  • PO BOX 41150

    MESA, AZ 852741150

    Phone: (602) 343-7977

    Type: Mailing

  • 350 W THOMAS RD

    PHOENIX, AZ 850134409

    Phone: (602) 406-3000

    Type: Location

  • 333 CITY BLVD W STE 2150

    ORANGE, CA 928685920

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240724001452IAnesthesiologyAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85274)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658675558View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)DC
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
-AZ

Reviews

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Frequently asked questions

What unique ID ties claims to MICHAEL MASON ORTMAN (MD)?
NPI 1114556248 is assigned to MICHAEL MASON ORTMAN (MD) under the national enumeration system.
Is MICHAEL MASON ORTMAN (MD) active in the national directory?
MICHAEL MASON ORTMAN (MD)'s public NPI profile is in an active state.
Does MICHAEL MASON ORTMAN (MD) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for MICHAEL MASON ORTMAN (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL MASON ORTMAN (MD)?
The page summarizes Mesa, Arizona for MICHAEL MASON ORTMAN (MD); expand the address list for detail.
How can I contact MICHAEL MASON ORTMAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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