DR. SHEILAINE R MABANTA (M.D.) – Radiation Oncology Physician, NPI 1619925484
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
157 RADIATION ONCOLOGY in MN
Provider Addresses for DR. SHEILAINE R MABANTA (M.D.)
49725 COUNTY 83
STAPLES, MN 564795280
Phone: (218) 894-1515
Fax: (218) 894-8767
Type: Location
2501 N ORANGE AVE STE 182
ORLANDO, FL 328044675
Phone: (407) 303-2030
Type: Mailing
4200 SUN N LAKE BLVD
SEBRING, FL 338721986
Phone: (407) 303-2030
Type: Location
Lake Region Healthcare, 712, South Cascade Street, Downtown, Fergus Falls, Otter Tail County, Minnesota, 56537, United States
FERGUS FALLS, MN 565372913
Phone: (218) 736-8000
Fax: (218) 736-8719
Type: Mailing
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: 2019-04-09
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 |
|---|---|---|---|---|
| I20101018001077 | I | Radiation Oncology | FL | TBD |
| I20190409001591 | I | Radiation Oncology | MN | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 686 | 64 | $0 |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 415 | 58 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 291 | 124 | $0 |
| 77300 | Calculation of radiation therapy dose | 222 | 80 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 179 | 66 | $0 |
Insurance plans in this area (ZIP 56479)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | FL | |
| Diagnostic Radiology | PA | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Radiation Oncology | FL | |
| - | MN | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | TX | |
| Interventional Radiology, Diagnostic Radiology, Interventional Radiology | FL |
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