NPI registry status
Active
2026 NPPES data Hematology (Internal Medicine) Physician NPI 1003990995 M.D.
Verify on CMS → Thomas Ortel, M.D.
Hematology (Internal Medicine) Physician in Durham, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,483 in Hematology (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
373
Medicare Part D claims · 121 beneficiaries · Hematology (Internal Medicine) Physician avg: 684
Generic prescribing
56%
generic claims · 44% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Thomas Ortel, M.D. filed 373 Medicare Part D claims in 2024 as a Hematology (Internal Medicine) Physician in Durham, North Carolina, prescribing 56% generic.
- 373
- Part D claims, 2024
- 56%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥56th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Thomas Ortel, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1003990995), first enumerated 10/25/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 373 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1003990995 · Hematology (Internal Medicine) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1003990995
- ENUM-LEGACY 2006
- TAX-NARROW 1,483
- RX-LIGHT 373
- BOOK-THIN 65 in North Carolina
- PHOTO-ENUM Philip McGlave, MD · 2006
Thomas Ortel, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
373 ≥ 56th percentile 56% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Thomas Ortel, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Thomas Ortel, M.D.?
Quality data not reportedPrimary specialty
Hematology (Internal Medicine) Physician
Medicare Part D claims
373 45% vs specialty avg
Specialty distribution in North Carolina
How Hematology (Internal Medicine) Physician compares to other specialties among North Carolina providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Hematology (Internal Medicine) Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1003990995 |
|---|---|
| Specialty | Hematology (Internal Medicine) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 10/25/2006 |
Hospital and facility affiliations
Facilities where Thomas Ortel, M.D. 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.
Duke Health Integrated Practice Inc
Durham, NC
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
Thomas Ortel, M.D. - brand share 44.0%
Hematology (Internal Medicine) Physician average
44% brand-name claims vs 56% generic, on 373 2024 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 2024.
373
Total Claims
$189K
Total Drug Cost
121
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 751.667
- Total Day Supply
- 22,172
- Brand vs Generic
- 44% brand / 56% generic
- Brand Drug Cost
- $168K
- Generic Drug Cost
- $21K
- Opioid Claims
- 13 (3.5% rate)
Patient Demographics
- Average Patient Age
- 66.9 years
- Avg HCC Risk Score
- 2.25
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 38, 65-74: 53, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Thomas Ortel, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Eliquis
Eliquis
108 claims
- Warfarin Sodium
Warfarin Sodium
69 claims
- Jantoven
Jantoven
65 claims
- Xarelto 43
Xarelto
43 claims
- Enoxaparin Sodium 28
Enoxaparin Sodium
28 claims
- Oxycodone Hcl 13
Oxycodone Hcl
13 claims
| Drug | Claims |
|---|---|
| Eliquis Apixaban | 108 |
| Warfarin Sodium | 69 |
| Jantoven Warfarin Sodium | 65 |
| Xarelto Rivaroxaban | 43 |
| Enoxaparin Sodium | 28 |
| Oxycodone Hcl | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Hematology (Internal Medicine) Physician in NC →
All providers in North Carolina →
Compare specialties →
Hematology (Internal Medicine) Physician Overview
How Thomas Ortel, M.D. fits within the Hematology (Internal Medicine) Physician landscape nationally.
1,483
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
684
Avg Claims per Provider
Thomas Ortel, M.D.'s 373 claims are below the specialty average of 684.
Nationwide Hematology (Internal Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Ortel, both outside North Carolina so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Hematology (Internal Medicine) Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Ortel.
One of 65 Hematology (Internal Medicine) Physician providers enrolled in North Carolina, 5 are shown here.
Dr. Charles Agbemabiese
M.D.
Thomasville, NC
Dr. Gowthami Arepally
MD
Durham, NC
Dr. Swetha Arshanapally
M.D.
Salisbury, NC
Dr. Trevor Austin
MD
Asheville, NC
Dr. Andrew Beardsley
M.D.
Asheville, NC
Compare Hematology (Internal Medicine) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Thomas Ortel, M.D.'s specialty? ▼
Thomas Ortel, M.D. specializes in Hematology (Internal Medicine) Physician and practices in Durham, North Carolina. Credentials: M.D..
How much does Thomas Ortel, M.D. prescribe under Medicare Part D? ▼
In 2024, Thomas Ortel, M.D. wrote 373 Medicare Part D claims totaling $189K in drug costs for 121 beneficiaries.
Where is Thomas Ortel, M.D. located? ▼
Thomas Ortel, M.D. is located at ERWIN RD, Durham, NC, 27710. Phone: (919) 620-4467.
What is Thomas Ortel, M.D.'s NPI number? ▼
Thomas Ortel, M.D.'s National Provider Identifier (NPI) is 1003990995, issued on 10/25/2006.
Does Thomas Ortel, M.D. prescribe more brand-name or generic drugs? ▼
Thomas Ortel, M.D.'s prescribing is 44% brand-name and 56% generic drugs by claim count, with $168K in brand drug costs.
Does Thomas Ortel, M.D. prescribe opioids? ▼
Yes, Thomas Ortel, M.D. had 13 opioid claims in 2024 with an opioid prescribing rate of 3.5%.
How many Hematology (Internal Medicine) Physician providers are there in the US? ▼
There are 1,483 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 684 Medicare Part D claims per year.
What drugs does Thomas Ortel, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Thomas Ortel, M.D.'s most frequently prescribed drugs include Eliquis, Warfarin Sodium, Jantoven. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Ortel, M.D. accept Medicare? ▼
Thomas Ortel, M.D. appears in CMS Medicare data with 373 Part D claims and 121 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Ortel, M.D.'s credentials? ▼
Thomas Ortel, M.D.'s NPI is 1003990995 with credentials M.D.. 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
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.