KENNETH MANDATO – Vascular & Interventional Radiology Physician, NPI 1871677682
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for KENNETH MANDATO
801 E Dixie Ave Ste 104
Leesburg, FL 347487601
Phone: (352) 787-5858
Fax: (352) 728-6749
Type: Location
Dixie Avenue, Leesburg, Lake County, Florida, 32748, United States
LEESBURG, FL 347487601
Phone: (352) 787-5858
Type: Mailing
Old Camp Road, Lake Sumter Landing, The Villages, Sumter County, Florida, 32162, United States
THE VILLAGES, FL 321625605
Phone: (352) 787-5858
Fax: (352) 728-6749
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $430.
Total Amount is formed as General ($430) + Research ($0) + Ownership ($0) = $430.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Inari Medical, Inc. ($224).
Total Amount
$430
General + Research + Ownership
Payments
19
Total payment records
General Amount
$430
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $224 |
| Penumbra, Inc. | $169 |
| TriSalus Life Sciences, Inc. | $37 |
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: 2019-11-27
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 |
|---|---|---|---|---|
| I20191127000139 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 28,149 | 363 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 2,300 | 14 | $0 |
| 71045 | X-ray of chest, 1 view | 321 | 306 | $0 |
| 71046 | X-ray of chest, 2 views | 256 | 256 | $0 |
| 71250 | Ct scan of chest without contrast | 196 | 193 | $0 |
Insurance plans in this area (ZIP 34748)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | NY | 20610 | Aspiration and/or injection of large joint or joint capsule | 11 | 11 |
| INTERVENTIONAL RADIOLOGY | NY | 62311 | Injections of substances into lower or sacral spine | 26 | 18 |
| INTERVENTIONAL RADIOLOGY | NY | 71010 | X-ray of chest, 1 view, front | 151 | 134 |
| INTERVENTIONAL RADIOLOGY | NY | 71250 | CT scan chest | 15 | 15 |
| INTERVENTIONAL RADIOLOGY | NY | 74177 | CT scan of abdomen and pelvis with contrast | 12 | 12 |
| INTERVENTIONAL RADIOLOGY | NY | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 43 | 43 |
| INTERVENTIONAL RADIOLOGY | NY | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 66 | 65 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| - | FL | |
| Diagnostic Radiology, Nuclear Medicine | FL | |
| Diagnostic Radiology | FL | |
| Interventional Radiology, Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| - | FL | |
| Interventional Radiology, Diagnostic Radiology | FL |
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