MELANIE A ORTLEB (M.D.) – Dermatology Physician, NPI 1154611622

MELANIE A ORTLEB (M.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 28493 (NE). The NPI Number for MELANIE A ORTLEB (M.D.) is 1154611622

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE A ORTLEB (M.D.)
NPI
1154611622
Phone
(402) 505-8777
Address
2953 S 168TH ST STE 101
Enumeration Date
18 April 2011
Last Update Date
20 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4025058777
Graduation Year
2011 (15 years ago)
PAC ID
4789903964
Group Practice PAC ID
9638430804
Professional Enrollment ID
I20150511000981
Address ID
NE681302398OM16910STXX300

Contacts

Secure Messaging
mortleb@moddermatology.ezderm.info
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

64 DERMATOLOGY in NE

Provider Addresses for MELANIE A ORTLEB (M.D.)

  • 2953 S 168TH ST STE 101

    OMAHA, NE 681302000

    Phone: (402) 505-8777

    Fax: (402) 933-7767

    Type: Mailing

  • 16910 FRANCES ST

    OMAHA, NE 681302368

    Phone: (402) 505-8777

    Fax: (402) 933-7767

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $823.

Total Amount is formed as General ($823) + Research ($0) + Ownership ($0) = $823.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($265).

Total Amount

$823

General + Research + Ownership

Payments

41

Total payment records

General Amount

$823

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2015-05-11

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
I20150511000981IDermatologyNETBD

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
17003Destruction of precancer skin growth, 2-14 growths51872$0
99214Established patient office or other outpatient visit, 30-39 minutes11783$0
11102Biopsy of related skin growth, first growth11679$0
17000Destruction of precancer skin growth, 1 growth11383$0
88305Pathology examination of tissue using a microscope, intermediate complexity9958$0
View full utilization report →

Insurance plans in this area (ZIP 68130)

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Provider's Procedures

MELANIE A ORTLEB (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYNE88304Pathology examination of tissue using a microscope, moderately low complexity2523

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: 9638430804View full group profile
NameSpecialtyState
Physician AssistantNE
Physician AssistantNE
D E R M A T O L O G YMN
D E R M A T O L O G YIN
Physician AssistantNE
D E R M A T O L O G YSD

Reviews

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Frequently asked questions

What NPI should I save for MELANIE A ORTLEB (M.D.)?
Save NPI 1154611622 if you need a stable reference for MELANIE A ORTLEB (M.D.).
Is MELANIE A ORTLEB (M.D.) active in the national directory?
MELANIE A ORTLEB (M.D.)'s public NPI profile is in an active state.
Does MELANIE A ORTLEB (M.D.) list a primary specialty?
If you are matching referrals, note Dermatology Physician for MELANIE A ORTLEB (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MELANIE A ORTLEB (M.D.)?
The page summarizes Omaha, Nebraska for MELANIE A ORTLEB (M.D.); expand the address list for detail.
Is MELANIE A ORTLEB (M.D.) a real provider?
This page reflects official NPPES data for NPI 1154611622. Always confirm identity and privileges with the practice and licensing boards.

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