DR. JOHNNA MANTINEO (D.O.) – Family Medicine Physician, NPI 1952371312
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
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Provider Addresses for DR. JOHNNA MANTINEO (D.O.)
Box Elder Court, Ormond Beach, Volusia County, Florida, 32174, United States
ORMOND BEACH, FL 321730729
Phone: (386) 231-6300
Fax: (386) 322-6165
Type: Mailing
5535, South Williamson Boulevard, Port Orange, Volusia County, Florida, 32128, United States
SUITE 700
PORT ORANGE, FL 321288311
Phone: (386) 231-6300
Fax: (386) 322-6165
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $903.
Total Amount is formed as General ($903) + Research ($0) + Ownership ($0) = $903.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Novo Nordisk Inc ($211).
Total Amount
$903
General + Research + Ownership
Payments
47
Total payment records
General Amount
$903
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $211 |
| AstraZeneca Pharmaceuticals LP | $173 |
| Bayer Healthcare Pharmaceuticals Inc. | $101 |
| Lilly USA, LLC | $87 |
| GlaxoSmithKline, LLC. | $64 |
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: 2010-02-26
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 |
|---|---|---|---|---|
| I20100226000702 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 323 | 228 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 259 | 259 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 243 | 243 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 240 | 240 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 47 | $0 |
Insurance plans in this area (ZIP 32173)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | FL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery | CA | |
| Occupational Therapist In Private Practice | GA | |
| - | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery, Hand Surgery | MA | |
| Physician Assistant | FL |
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