DR. ANDREW BARTON MANGUM (MD) – Anesthesiology Physician, NPI 1417165770

DR. ANDREW BARTON MANGUM (MD) is a healthcare provider. based in St petersburg, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 2007002740 (MO). The NPI Number for DR. ANDREW BARTON MANGUM (MD) is 1417165770

Main info

Male
23 Years Of Experience
Name
DR. ANDREW BARTON MANGUM (MD)
NPI
1417165770
Phone
(727) 823-2188
Address
PO BOX 22005
Enumeration Date
18 May 2007
Last Update Date
12 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4804252160
Graduation Year
2003 (23 years ago)
PAC ID
4284721226
Group Practice PAC ID
0143205419
Professional Enrollment ID
I20130925000337
Address ID
AZ852827612TE2421XAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,343 ANESTHESIOLOGY in AZ

Provider Addresses for DR. ANDREW BARTON MANGUM (MD)

  • PO BOX 22005

    ST PETERSBURG, FL 337422005

    Phone: (727) 823-2188

    Fax: (727) 828-0723

    Type: Mailing

  • PO BOX 41150

    MESA, AZ 852741150

    Phone: (480) 425-2160

    Fax: (480) 351-8797

    Type: Mailing

  • 2421 E SOUTHERN AVE STE 7

    TEMPE, AZ 852827612

    Phone: (480) 425-2160

    Fax: (480) 351-8797

    Type: Location

  • Bayfront Health Saint Petersburg, 701, 6th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States

    ST PETERSBURG, FL 337014814

    Phone: (727) 823-2188

    Fax: (727) 828-0723

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $2,820.

Total Amount is formed as General ($2,820) + Research ($0) + Ownership ($0) = $2,820.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Biosense Webster, Inc. ($1,815).

Total Amount

$2,820

General + Research + Ownership

Payments

89

Total payment records

General Amount

$2,820

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-09-25

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
I20130925000337IAnesthesiologyAZTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00160Anesthesia for other procedure on nose and sinuses8181$0
36620Insertion of artery tube for blood sampling or infusion through skin2323$0
00560Anesthesia for procedure on heart and large blood vessels1212$0
View full utilization report →

Insurance plans in this area (ZIP 33742)

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Provider's Procedures

DR. ANDREW BARTON MANGUM (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYFL36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin3030
ANESTHESIOLOGYFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1717

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: 0143205419View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)AZ
-AZ
A N E S T H E S I O L O G YAZ

Reviews

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Frequently asked questions

Where can patients find DR. ANDREW BARTON MANGUM (MD)'s NPI?
You can confirm DR. ANDREW BARTON MANGUM (MD) with NPI 1417165770; it appears in the national provider directory.
Is DR. ANDREW BARTON MANGUM (MD) currently active in the NPI registry?
CMS-published data lists DR. ANDREW BARTON MANGUM (MD) as an active registrant.
Does DR. ANDREW BARTON MANGUM (MD) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for DR. ANDREW BARTON MANGUM (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. ANDREW BARTON MANGUM (MD)?
The snapshot lists St Petersburg, Florida for DR. ANDREW BARTON MANGUM (MD); download NPPES for the complete set.
What if St Petersburg, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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