PATRICK TERRY MANGONON (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1023067584
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
406 THORACIC SURGERY in FL
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Provider Addresses for PATRICK TERRY MANGONON (MD)
305, Memorial Medical Parkway, Daytona Beach, Volusia County, Florida, 32117, United States
SUITE 308
DAYTONA BEACH, FL 321175168
Phone: (386) 231-3600
Fax: (386) 231-3602
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)
CMS reports 79 Open Payments records for all available years, with a total value of $20,456.
Total Amount is formed as General ($20,456) + Research ($0) + Ownership ($0) = $20,456.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($17,483).
Total Amount
$20,456
General + Research + Ownership
Payments
79
Total payment records
General Amount
$20,456
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $17,483 |
| ATRICURE, INC. | $1,437 |
| Edwards Lifesciences Corporation | $590 |
| Medtronic, Inc. | $160 |
| AstraZeneca Pharmaceuticals LP | $138 |
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: 2005-04-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050414000293 | I | Thoracic Surgery | FL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 160 | 160 | $0 |
| 93312 | Ultrasound of heart with probe in esophagus, with report | 79 | 79 | $0 |
| 33508 | Harvest of vein using an endoscope | 65 | 65 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 61 | 61 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 55 | 43 | $0 |
Insurance plans in this area (ZIP 32117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| THORACIC SURGERY | FL | 33533 | Heart artery bypass to repair one artery | 38 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| U R O L O G Y | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Nurse Practitioner | GA | |
| Internal Medicine | NY | |
| General Surgery | FL | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | FL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Cardiovascular Disease (Cardiology) | FL |
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