DAVID MORTENSEN (MD) – Surgery Physician, NPI 1518024520

DAVID MORTENSEN (MD) is a healthcare provider. based in Council bluffs, Iowa. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 35976 (IA). The NPI Number for DAVID MORTENSEN (MD) is 1518024520

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DAVID MORTENSEN (MD)
NPI
1518024520
Phone
(712) 388-2660
Address
800 MERCY DR
Enumeration Date
2 January 2007
Last Update Date
19 September 2017

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
7123882660
Graduation Year
2000 (26 years ago)
PAC ID
2961459961
Group Practice PAC ID
1951210418
Professional Enrollment ID
I20050401000402
Address ID
IA515033128CO800XXDRXX310
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

377 GENERAL SURGERY in IA

Provider Addresses for DAVID MORTENSEN (MD)

  • CHI Health Mercy Council Bluffs, 800, Mercy Drive, Council Bluffs, Pottawattamie County, Iowa, 51503, United States

    STE 220

    COUNCIL BLUFFS, IA 515033128

    Phone: (712) 388-2660

    Fax: (712) 388-2665

    Type: Mailing

  • 800 MERCY DR STE 220

    COUNCIL BLUFFS, IA 515033128

    Phone: (712) 388-2660

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: TELA Bio, Inc. ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
TELA Bio, Inc.$37
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: 2013-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050401000402IGeneral SurgeryIATBD
I20130518000110IGeneral SurgeryNETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare8584$0
99203New patient office or other outpatient visit, 30-44 minutes5757$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3736$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3621$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3332$0
View full utilization report →

Insurance plans in this area (ZIP 51503)

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Provider's Procedures

DAVID MORTENSEN (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYIA45378Diagnostic examination of large bowel using an endoscope4444

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: 1951210418View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
Orthopedic SurgeryNE
Physician AssistantNE
Cardiovascular Disease (Cardiology)NE
H O S P I T A L I S TCA
N E U R O L O G YMO
U R O L O G YNE
Hospitalist, Internal MedicineIA
Family PracticeNE
Orthopedic SurgeryIL

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Frequently asked questions

How is DAVID MORTENSEN (MD) identified in CMS data?
CMS-hosted NPPES data lists DAVID MORTENSEN (MD) with NPI 1518024520.
Does CMS list DAVID MORTENSEN (MD) as active?
Yes — DAVID MORTENSEN (MD) is active in the NPI listing used on this page.
What healthcare role does DAVID MORTENSEN (MD) hold?
Scheduling teams often label DAVID MORTENSEN (MD) under Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does DAVID MORTENSEN (MD) serve?
DAVID MORTENSEN (MD)'s listing highlights Council Bluffs, Iowa; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.