STEVEN DOUGLAS JR. ORTMAN – Primary Care Nurse Practitioner, NPI 1215529243

STEVEN DOUGLAS JR. ORTMAN is a healthcare provider. based in Broken arrow, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. F11200788 (OK). The NPI Number for STEVEN DOUGLAS JR. ORTMAN is 1215529243

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN DOUGLAS JR. ORTMAN
NPI
1215529243
Phone
(918) 710-4112
Address
4716 S URBANA STREET
Enumeration Date
10 February 2021
Last Update Date
2 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187104112
Graduation Year
2020 (6 years ago)
PAC ID
3779987110
Group Practice PAC ID
2668620220
Professional Enrollment ID
I20210809000312
Address ID
OK741465222TU4750XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for STEVEN DOUGLAS JR. ORTMAN

  • 4716 S URBANA STREET

    BROKEN ARROW, OK 740125997

    Phone: (918) 710-4112

    Fax: (918) 710-4118

    Type: Mailing

  • 11912 S NORWOOD AVE STE 110

    TULSA, OK 741375547

    Phone: (918) 943-5303

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,304.

Total Amount is formed as General ($1,304) + Research ($0) + Ownership ($0) = $1,304.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Averitas Pharma Inc. ($436).

Total Amount

$1,304

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

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: 2021-08-09

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
I20210809000312INurse PractitionerOKTBD

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
80307Testing for presence of drug, by chemistry analyzers5247$0
99213Established patient office or other outpatient visit, 20-29 minutes4943$0
96127Assessment of emotional or behavioral problems4238$0
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms1515$0
View full utilization report →

Insurance plans in this area (ZIP 74012)

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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: 2668620220View full group profile
NameSpecialtyState
Pain ManagementOK
-OK
Nurse PractitionerOK
Interventional Pain ManagementOK
Nurse PractitionerOK
Nurse PractitionerOK
A N E S T H E S I O L O G YOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What NPI should I save for STEVEN DOUGLAS JR. ORTMAN?
Save NPI 1215529243 if you need a stable reference for STEVEN DOUGLAS JR. ORTMAN.
Is STEVEN DOUGLAS JR. ORTMAN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is STEVEN DOUGLAS JR. ORTMAN?
The page reflects Primary Care Nurse Practitioner for STEVEN DOUGLAS JR. ORTMAN. Clinical services aligned with this taxonomy classification.
What location metadata exists for STEVEN DOUGLAS JR. ORTMAN?
The page summarizes Broken Arrow, Oklahoma for STEVEN DOUGLAS JR. ORTMAN; expand the address list for detail.
What if Broken Arrow, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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