DR. DAVID RENE MANTILLA (MD) – Vascular Surgery Physician, NPI 1598252835
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
43 VASCULAR SURGERY in KS
Provider Addresses for DR. DAVID RENE MANTILLA (MD)
824 W Frontier Ln
Olathe, KS 660617216
Phone: (816) 675-0920
Type: Location
Menorah Medical Center, 5721, West 119th Street, Overland Park, Johnson County, Kansas, 66209, United States
OVERLAND PARK, KS 662093722
Phone: (913) 498-6000
Type: Mailing
Lee's Summit Medical Center, 2100, Southeast Blue Parkway, Lee's Summit, Jackson County, Missouri, 64063, United States
LEES SUMMIT, MO 640631007
Phone: (816) 282-5000
Type: Location
3600 NE RALPH POWELL RD STE D
LEES SUMMIT, MO 640642369
Phone: (816) 675-0920
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 77 Open Payments records for all available years, with a total value of $5,289.
Total Amount is formed as General ($5,289) + Research ($0) + Ownership ($0) = $5,289.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Medtronic, Inc. ($4,800).
Total Amount
$5,289
General + Research + Ownership
Payments
77
Total payment records
General Amount
$5,289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $4,800 |
| Bard Peripheral Vascular, Inc. | $294 |
| Bolton Medical Inc | $123 |
| Inari Medical, Inc. | $56 |
| Ethicon US, LLC | $17 |
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: 2025-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20250918001423 | I | Vascular Surgery | KS | TBD |
| I20251016001308 | I | Vascular Surgery | MO | 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 66061)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Interventional Cardiology | MO | |
| Vascular Surgery | NE | |
| Vascular Surgery, General Surgery | NE | |
| Physician Assistant | SD | |
| Vascular Surgery | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE |
Reviews
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