MANOLO M. MANALO (MD) – Family Medicine Physician, NPI 1083605364
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MANOLO M. MANALO (MD)
Pointe Inverness Way, Covington Dells, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468047934
Phone: (260) 479-3516
Fax: (260) 479-3520
Type: Mailing
2516, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States
FORT WAYNE, IN 468251608
Phone: (260) 471-7197
Fax: (260) 471-7408
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-10-02
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 |
|---|---|---|---|---|
| I20071002000795 | I | Family Practice | IN | 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 | 33 | 32 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 28 | 27 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 24 | 24 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 19 | 18 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 17 | 17 | $0 |
Insurance plans in this area (ZIP 46804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IN | 90670 | Pneumococcal vaccine for injection into muscle | 39 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | IN | |
| - | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | IN | |
| - | IN | |
| U R O L O G Y | NC | |
| - | IN | |
| Nurse Practitioner | IN | |
| Cardiovascular Disease (Cardiology) | IN |
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