BEAU G BORTEL (DPM) – Podiatrist, NPI 1952415101
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 PODIATRY in OH
Provider Addresses for BEAU G BORTEL (DPM)
3905 W Sylvania Ave
Toledo, OH 436234426
Phone: (513) 489-2400
Fax: (513) 489-2455
Type: Location
609 Ford St
Maumee, OH 435371947
Phone: (419) 893-5539
Fax: (419) 893-6853
Type: Location
1414 S Byrne Rd
Toledo, OH 436142363
Phone: (513) 729-4455
Fax: (513) 489-2455
Type: Location
Monclova Road, Maumee, Lucas County, Ohio, 43537, United States of America
SUITE 5
MAUMEE, OH 435371863
Phone: (419) 893-5757
Fax: (419) 893-5399
Type: Location
5757 MONCLOVA RD STE 5
MAUMEE, OH 435371863
Phone: (419) 893-5757
Fax: (419) 893-5399
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-04-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060412000412 | I | Podiatry | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,583 | 395 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 119 | 73 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 111 | 74 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 85 | 85 | $0 |
| 20605 | Aspiration and/or injection of fluid from medium joint | 66 | 45 | $0 |
Insurance plans in this area (ZIP 43623)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | OH | 73630 | X-ray of foot, minimum of 3 views | 166 | 114 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | OH | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | OH | |
| Podiatry, Sports Medicine | OH | |
| P O D I A T R Y | OH |
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