Melanie A Ortleb
MOD DERMATOLOGY PC


Address: 2953 S 168th St, Suite 101, Omaha, NE 68130-2000
Phone: 4025058777

Melanie A Ortleb (NPI# 1154611622, PAC ID# 4789903964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1154611622
PAC ID by PECOS 4789903964
Professional Enrollment ID I20150511000981
Full Name Melanie A Ortleb
Organization Legal Name MOD DERMATOLOGY PC
Address 2953 S 168th St
Suite 101
Omaha
NE 68130-2000
Phone Number 4025058777
Gender F
Medical School UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year 2011
Primary Specialty DERMATOLOGY
Group Practice PAC ID 9638430804
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
280013 THE NEBRASKA MEDICAL CENTER

Other Locations

Address Phone Organization
2953 S 168th St, Suite 101, Omaha, NE 68130-2000 4025058777 MOD DERMATOLOGY PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 99%
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 100%
MIPS_EC_224_overall Melanoma: Overutilization of Imaging Studies in Melanoma 100%

Organization Information

Organization Legal Name MOD DERMATOLOGY PC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Amy K Price Physician Assistant Mod Dermatology PC 2953 S 168th St, Suite 101, Omaha, NE 68130-2000

Office Location

Street Address 2953 S 168TH ST
SUITE 101
City OMAHA
State NE
Zip 68130-2000

Physicians in the same location

Name Specialty Organization Address
Amy K Price Physician Assistant Mod Dermatology PC 2953 S 168th St, Suite 101, Omaha, NE 68130-2000
Brent R Todd Physical Therapy Athletico Excel Nebraska LLC 2953 S 168th St, 100 Excel Physical Therapy, Omaha, NE 68130-2000
Gerald E Jacobi Physical Therapy Athletico Excel Nebraska LLC 2953 S 168th St, 100 Excel Physical Therapy, Omaha, NE 68130-2000
Janna L Mixan Optometry First Eye Associates PC 2953 S 168th St, Omaha, NE 68130-2000
Ryann M Mcfee Physical Therapy Athletico Excel Nebraska LLC 2953 S 168th St, 100 Excel Physical Therapy, Omaha, NE 68130-2000

Physicians in the same zip code

Name Specialty Organization Address
Elvira Rios Family Medicine 17021 Hillside Hills Plz, Suite 100, Omaha, NE 68130
Charles H Stoner Jr. Family Medicine 17841 Pierce Plz, Omaha, NE 68130-1035
Cynthia M Lewis Hematology/oncology Heartland Hematology and Oncology PC 300 E 12th St, Cozad Community Hospital, Cozad, NE 68130-1505
Ryan J Hruska Physical Therapy Restore Physical Therapy LLC 2607 S 159th Place, Omaha, NE 68130-1705
Trevor J Wagner Chiropractic Wagner Chiropractic Clinic PC 2639 S 159th Plz, West Omaha Chiropractic and Sports Inc, Omaha, NE 68130-1705
Julie Elizabeth Owen-wagner Chiropractic Wagner Chiropractic Clinic PC 2639 S 159th Plz, West Omaha Chiropractic and Sports Inc, Omaha, NE 68130-1705
Ronald Russell Evans Chiropractic Wagner Chiropractic Clinic PC 2639 S 159th Plz, West Omaha Chiropractic and Sports Inc, Omaha, NE 68130-1705
Carol B Rosenau Physical Therapy Restore Physical Therapy LLC 2607 S 159th Place, Omaha, NE 68130-1705
Dave L Jones Chiropractic 15680 W Ctr Rd, Health Source Chiropractic, Omaha, NE 68130-1808
Gianna C Howard Occupational Therapy Oncology Hematology West, PC 17201 Wright St, Suite 200, Omaha, NE 68130-2042
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Competitor

Search similar physicians

City OMAHA
Zip Code 68130
Specialty DERMATOLOGY
City + Specialty OMAHA + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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