Active NPI
Megan Marie Fortman, PA-C
- Physician Assistant
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.009305RX
- Practice address
- 7991 Beechmont Ave Ste C
Cincinnati, OH 45255-3191 - Phone
- (513) 401-5979
- Fax
- (833) 972-4769
- NPI assigned
- Jan 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.009305RX | OH | Primary |
| Physician Assistant | 363A00000X | PA3672 | KY |
Addresses
Primary practice location
7991 Beechmont Ave Ste C
Cincinnati, OH 45255-3191
Mailing address
467 Greensboro Dr
Centerville, OH 45459-2943
Phone (937) 710-3171
Other practice location 1
120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200
Other practice location 2
467 Greensboro Dr
Centerville, OH 45459-2943
Phone (937) 710-3171
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300112389 | Medicaid | IN | |
| 0125548 | Medicaid | OH | |
| 7101062000 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | megan.fortman.1@16521.direct.athenahealth.com | Commonwealth Pain Associates, PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Diagnostic Dr
Frankfort, KY 40601-6557
Phone (502) 855-7200
120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200
2041 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 401-5968
7991 Beechmont Ave
Suite C
Cincinnati, OH 45255-3191
Phone (502) 855-7200
Hospital & facility affiliations
- Christ Hospital
- Mercy Health - Clermont Hospital
- Mercy Health-Anderson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3672 | KY | MD | Physician Assistant |
| TC045 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Pain Associates, PLLC | Physician Assistant | Current | Accepting new patients |
| Commonwealth Pain Associates PLLC | Current | Accepting new patients |
Locations
320 Thomas More Pkwy
Ste 202
Crestview Hills, KY 41017
Phone (513) 624-7246
120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925
7991 Beechmont Ave
Ste C
Cincinnati, OH 45255
Phone (513) 401-5968
2041 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 401-5968
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
OH, Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1114753720
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1780633289
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1235239211
-
- General Acute Care Hospital
- Batavia, OH
- NPI 1568562551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1861204869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 GREENSBORO DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592943",
"telephone_number": "937-710-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7991 BEECHMONT AVE STE C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452553191",
"telephone_number": "513-401-5979",
"fax_number": "833-972-4769"
}
],
"practiceLocations": [
{
"address_1": "120 Executive Park",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402074201",
"country_code": "US",
"telephone_number": "502-855-7200",
"fax_number": "502-855-7201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "467 Greensboro Dr",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454592943",
"country_code": "US",
"telephone_number": "937-710-3171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTMAN",
"first_name": "MEGAN",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-25",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.009305RX",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA3672",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300112389",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125548",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101062000",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "megan.fortman.1@16521.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "Commonwealth Pain Associates, PLLC",
"address_1": "7991 Beechmont Ave Ste C",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452553191",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.