Karen Fortman, O.D.
NPI 1205898145 · Optometrist · Sidney, OH
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Fortman, O.D. is a Optometrist provider in Sidney, OH (NPI 1205898145).
Provider details
- NPI number
- 1205898145
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4599 (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,265 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 469 | $121 |
| Photography of the Retina92250 | 214 | $34 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 196 | $86 |
| Exam of Visual Field With Extended Testing92083 | 122 | $58 |
| Imaging of Retina92134 | 66 | $36 |
| Imaging of Optic Nerve92133 | 63 | $32 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 29 | — |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 16 | 13 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 15 | — |
| Prednisolone Acetate | 14 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$710 across 17 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2022-11-18
- Certified
- 2022-11-18
Frequently asked questions
- What is Karen Fortman's NPI number?
- Karen Fortman's National Provider Identifier (NPI) is 1205898145, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Fortman's specialty?
- Karen Fortman is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Karen Fortman located?
- Karen Fortman's practice location on file with NPPES is 1086 Fairington Dr, Sidney, OH 45365-8913.
- What is Karen Fortman's phone number?
- The practice phone number listed in the NPPES registry for Karen Fortman is (937) 492-9197.
- Does Karen Fortman accept Medicare?
- Karen Fortman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Fortman's NPI active?
- Yes — Karen Fortman's NPI (1205898145) is active in the NPPES registry as of the last update on 2022-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.