NACIME SALOMAO BARBACHAN MANSUR (MD, PHD) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1417679192
Orthopaedic Foot and Ankle Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
287 ORTHOPEDIC SURGERY in IA
Provider Addresses for NACIME SALOMAO BARBACHAN MANSUR (MD, PHD)
708 5TH ST APT 217
CORALVILLE, IA 522412350
Phone: (319) 400-7911
Type: Mailing
200 HAWKINS DR DEPT OF
IOWA CITY, IA 522421009
Phone: (319) 356-8707
Type: Location
1213 CLEARFIELD CIR
TIMONIUM, MD 210934707
Phone: (319) 400-7911
Type: Mailing
3333 N CALVERT ST
BALTIMORE, MD 212182867
Phone: (410) 554-6844
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,328.
Total Amount is formed as General ($1,328) + Research ($0) + Ownership ($0) = $1,328.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Supreme Orthopedic Systems, LLC ($401).
Total Amount
$1,328
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supreme Orthopedic Systems, LLC | $401 |
| Stryker Corporation | $381 |
| EXACTECH, INC. | $348 |
| Paragon 28, Inc. | $198 |
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: 2025-10-14
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 |
|---|---|---|---|---|
| I20251014004246 | I | Orthopedic Surgery | MD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 52241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| - | MD | |
| - | MD | |
| - | MD | |
| Internal Medicine | MD | |
| Critical Care (Intensivists), Sleep Medicine, Pulmonary Disease | MD | |
| - | MD | |
| Diagnostic Radiology, Interventional Radiology | PA | |
| Geriatric Medicine, Internal Medicine | MD | |
| Orthopedic Surgery | MD |
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