2026 NPPES data Surgery Physician NPI 1346236940 DO
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EDWARD ORTELL, DO

Surgery Physician in OTTUMWA, Iowa. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
464
Medicare Part D claims · 306 beneficiaries · Surgery Physician avg: 169
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
What the federal data reveals: EDWARD ORTELL, DO is a Surgery Physician ([object Object]) practicing in OTTUMWA, Iowa with a Medicare Part D prescribing footprint of 464 claims across 306 beneficiaries — 30% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: EDWARD ORTELL, DO reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 464 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EDWARD ORTELL, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

EDWARD ORTELL, DO at a glance

Below national average

NPI registry status

Active

Issued 09/20/2005

NPI 1346236940

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

464 175% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Iowa

How Surgery Physician compares to other specialties among Iowa providers

Iowa providers

Surgery Physician share within Iowa

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Iowa

Medicare quality performance — MIPS

EDWARD ORTELL, DO's 2023 MIPS final score plotted against the Surgery Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Surgery Physician) — 75/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

EDWARD ORTELL, DO is a Surgery Physician provider practicing in OTTUMWA, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1346236940. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

EDWARD ORTELL, DO appears in the CMS NPPES registry as a Surgery Physician provider holding DO credentials at 1005 PENNSYLVANIA AVE, OTTUMWA, IA, 52501, with a listed phone of (641) 684-2927. NPI 1346236940 was issued on 09/20/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ORTELL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 464 prescription claims written by this provider, covering 306 Medicare beneficiaries and totaling roughly $29K in drug spend, split 30% brand-name and 70% generic by claim count, with an opioid prescribing rate of 10.8%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1005 PENNSYLVANIA AVE
OTTUMWA, IA 52501

Provider Details

NPI 1346236940
Specialty Surgery Physician
Credentials DO
Gender Male
NPI Issued 09/20/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where EDWARD ORTELL, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

JEFFERSON COUNTY HOSPITAL
FAIRFIELD, IA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

EDWARD ORTELL, DO — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 464 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

464
Total Claims
$29K
Total Drug Cost
306
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
498
Total Day Supply
7,117
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$22K
Generic Drug Cost
$6K
Opioid Claims
50 (10.8% rate)
Antibiotic Claims
45

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.27
Gender Split
54% female / 46% male
Age Distribution
<65: 40, 65-74: 159, 75-84: 91, 85+: 16

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
92
Pantoprazole Sodium
73
Omeprazole
28
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
26
Clenpiq
Sod Picosulf/Mag Ox/Citric Ac
24
Tramadol Hcl
23
Ursodiol
22
Sucralfate
21
Cephalexin
19
Fluconazole
16

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgery Physician Overview

How EDWARD ORTELL, DO fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

EDWARD ORTELL, DO's 464 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Iowa

Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as ORTELL.

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWARD ORTELL, DO's specialty?
EDWARD ORTELL, DO specializes in Surgery Physician and practices in OTTUMWA, Iowa. Credentials: DO.
How much does EDWARD ORTELL, DO prescribe under Medicare Part D?
In 2023, EDWARD ORTELL, DO wrote 464 Medicare Part D claims totaling $29K in drug costs for 306 beneficiaries.
What is EDWARD ORTELL, DO's Medicare quality score?
EDWARD ORTELL, DO has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWARD ORTELL, DO located?
EDWARD ORTELL, DO is located at 1005 PENNSYLVANIA AVE, OTTUMWA, IA, 52501. Phone: (641) 684-2927.
What is EDWARD ORTELL, DO's NPI number?
EDWARD ORTELL, DO's National Provider Identifier (NPI) is 1346236940, issued on 09/20/2005.
Does EDWARD ORTELL, DO prescribe more brand-name or generic drugs?
EDWARD ORTELL, DO's prescribing is 30% brand-name and 70% generic drugs by claim count, with $22K in brand drug costs.
Does EDWARD ORTELL, DO prescribe opioids?
Yes, EDWARD ORTELL, DO had 50 opioid claims in 2023 with an opioid prescribing rate of 10.8%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does EDWARD ORTELL, DO prescribe most often?
Based on 2023 Medicare Part D data, EDWARD ORTELL, DO's most frequently prescribed drugs include Sutab, Pantoprazole Sodium, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD ORTELL, DO accept Medicare?
EDWARD ORTELL, DO appears in CMS Medicare data with 464 Part D claims and 306 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD ORTELL, DO's credentials?
EDWARD ORTELL, DO's NPI is 1346236940 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology