JOHN T H MANDEVILLE (M.D., PHD) – Ophthalmology Physician, NPI 1811986060

JOHN T H MANDEVILLE (M.D., PHD) is a healthcare provider. based in East weymouth, Massachusetts. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D., PHD. They hold a License No. 209475 (MA). The NPI Number for JOHN T H MANDEVILLE (M.D., PHD) is 1811986060

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JOHN T H MANDEVILLE (M.D., PHD)
NPI
1811986060
Phone
(781) 331-3300
Address
97 LIBBEY INDUSTRIAL PKWY STE 100
Enumeration Date
20 October 2005
Last Update Date
23 December 2021

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
6173674800
Graduation Year
1997 (29 years ago)
PAC ID
3173521804
Group Practice PAC ID
4789651498
Professional Enrollment ID
I20080703000078
Address ID
MA021142539BO50XXXSTXX301

Contacts

Secure Messaging
Mandeville.John.OCB@direct.partners.masshiway.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

801 OPHTHALMOLOGY in MA

Provider Addresses for JOHN T H MANDEVILLE (M.D., PHD)

  • 97 LIBBEY INDUSTRIAL PKWY STE 100

    EAST WEYMOUTH, MA 021893110

    Phone: (781) 331-3300

    Fax: (781) 337-8356

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-04-05 • Largest payer in this snapshot: Amgen Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$16
View all Open Payments →|Open Payments Risk Radar →

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: 2008-07-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080703000078IOphthalmologyMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0585Injection, onabotulinumtoxina, 1 unit1,69120$0
92012Established patient problem focused exam of visual system655533$0
92285Photography of content of eyes578575$0
99214Established patient office or other outpatient visit, 30-39 minutes363325$0
92081Exam of visual field with limited testing137137$0
View full utilization report →

Insurance plans in this area (ZIP 02189)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789651498View full group profile
NameSpecialtyState
O P T O M E T R YMA
-MA
O P H T H A L M O L O G YMA
O P T O M E T R YMA
O P H T H A L M O L O G YMA
O P T O M E T R YMA
O P T O M E T R YMA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
O P T O M E T R YMA

Reviews

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Frequently asked questions

What is the registry number for JOHN T H MANDEVILLE (M.D., PHD)?
The registry entry for JOHN T H MANDEVILLE (M.D., PHD) shows NPI 1811986060.
Is JOHN T H MANDEVILLE (M.D., PHD) currently accepting referrals based on NPI status?
Registry metadata lists JOHN T H MANDEVILLE (M.D., PHD) as active.
Which specialty label fits JOHN T H MANDEVILLE (M.D., PHD)?
NPPES ties JOHN T H MANDEVILLE (M.D., PHD) to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JOHN T H MANDEVILLE (M.D., PHD)?
The directory associates JOHN T H MANDEVILLE (M.D., PHD) with East Weymouth, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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