DR. MARK A. MCMANIGLE (DO) – Family Medicine Physician, NPI 1023123734

DR. MARK A. MCMANIGLE (DO) is a healthcare provider. based in Willcox, Arizona. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 2586 (AZ). The NPI Number for DR. MARK A. MCMANIGLE (DO) is 1023123734

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK A. MCMANIGLE (DO)
NPI
1023123734
Phone
(520) 384-4421
Address
900 W SCOTT ST
Enumeration Date
20 August 2006
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7073934000
Graduation Year
1989 (37 years ago)
PAC ID
6406824291
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20160712002690
Address ID
CA954032149SA401XXWAYX300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,260 FAMILY PRACTICE in AZ

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Provider Addresses for DR. MARK A. MCMANIGLE (DO)

  • Scott Street, Willcox, Cochise County, Arizona, 85643, United States

    WILLCOX, AZ 856431017

    Phone: (520) 384-4421

    Fax: (520) 384-4645

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160712002690IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85643)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What NPI should I save for DR. MARK A. MCMANIGLE (DO)?
Save NPI 1023123734 if you need a stable reference for DR. MARK A. MCMANIGLE (DO).
Is DR. MARK A. MCMANIGLE (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. MARK A. MCMANIGLE (DO) treat or focus on?
Patients typically see DR. MARK A. MCMANIGLE (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MARK A. MCMANIGLE (DO)?
The page summarizes Willcox, Arizona for DR. MARK A. MCMANIGLE (DO); expand the address list for detail.
Is DR. MARK A. MCMANIGLE (DO) a real provider?
This page reflects official NPPES data for NPI 1023123734. Always confirm identity and privileges with the practice and licensing boards.

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