Thomas Ortel, M.D.
NPI 1003990995ActiveIndividual· Internal Medicine, Hematology· Durham, NC
Internal Medicine, Hematology (M.D.) in Durham, North Carolina, trained at Indiana University School of Medicine (class of 1985). Their prescriptions cost Medicare Part D more than their services did: $189,073 for 373 claims, against $12,592 paid for services in 2024. F. Hoffmann-La Roche Ag was the largest of 2 companies reporting payments in 2025, $28,788 in all, mostly consulting fees.
Overview
| NPI | 1003990995 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Nov 14, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hematology Primary | 207RH0000X | 37916 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hematology (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 191 |
|---|---|
| Services billed | 363 across 7 procedure codes |
| Paid by Medicare | $12,592 |
Part D prescriptions in 2024
| Prescriptions (claims) | 373 · 752 30-day fills |
|---|---|
| Patients | 121 |
| Total drug cost | $189,073 |
| Generic share | 56% of claims |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 1985 |
| Medicare specialty | Hematology |
| Secondary specialties | Pathology |
Medical group
- Duke Health Integrated Practice, IncDurham, NC · 3,185 clinicians
Hospital affiliations
- Duke Regional HospitalDurham, NC
- Duke University HospitalDurham, NC
Industry payments (Open Payments)
- 2025$28,788 · 7 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| F. Hoffmann-La Roche Ag | $24,108 | 6 |
| Alexion Pharmaceuticals, Inc. | $4,680 | 1 |
What the 2025 payments were for
- Consulting Fee$16,750 · 3 payments
- Travel and Lodging$11,840 · 3 payments
- Food and Beverage$198.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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