DR. MICHAEL MANGONON (D.O.) – Surgery of the Hand (Surgery) Physician, NPI 1609013036
Surgery of the Hand (Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
103 HAND SURGERY in GA
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Provider Addresses for DR. MICHAEL MANGONON (D.O.)
3245 PEACHTREE PKWY STE D
#246
SUWANEE, GA 300246008
Phone: (470) 305-0848
Fax: (470) 305-1110
Type: Mailing
Stand Up Family Medicine, 3775, Roswell Road, Marietta, Cobb County, Georgia, 30062, United States
SUITE 250
MARIETTA, GA 300628836
Phone: (770) 333-7888
Fax: (770) 333-7889
Type: Mailing
5870 STONELEIGH DR
SUWANEE, GA 300245330
Phone: (917) 363-9352
Type: Mailing
4775 JIMMY CARTER BLVD STE 201
NORCROSS, GA 300933760
Phone: (470) 305-0848
Fax: (470) 305-1110
Type: Location
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.
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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: 2014-11-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141112000300 | I | Hand Surgery | GA | 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 |
|---|---|---|---|---|
| 73110 | X-ray of wrist, minimum of 3 views | 103 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 54 | $0 |
| 73130 | X-ray of hand, minimum of 3 views | 70 | 37 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 62 | 62 | $0 |
| 29125 | Application of nonmoveable forearm to hand splint | 47 | 13 | $0 |
Insurance plans in this area (ZIP 30024)
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Provider's Procedures
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