JONATHAN LYLE MANZER (M.D.) – Family Medicine Physician, NPI 1407848971

JONATHAN LYLE MANZER (M.D.) is a healthcare provider. based in Carthage, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 2004001464 (MO). The NPI Number for JONATHAN LYLE MANZER (M.D.) is 1407848971

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN LYLE MANZER (M.D.)
NPI
1407848971
Phone
(417) 358-4811
Address
3071 S GRAND AVE
Enumeration Date
19 August 2005
Last Update Date
16 September 2013

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4173598646
Graduation Year
2004 (22 years ago)
PAC ID
5799765178
Group Practice PAC ID
5698773539
Professional Enrollment ID
I20040726000227
Address ID
MO648361749CA433XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for JONATHAN LYLE MANZER (M.D.)

  • 3071, South Grand Avenue, Carthage, Jasper County, Missouri, 64836, United States

    CARTHAGE, MO 648367851

    Phone: (417) 358-4811

    Fax: (417) 358-4781

    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 123 Open Payments records for all available years, with a total value of $2,012.

Total Amount is formed as General ($2,012) + Research ($0) + Ownership ($0) = $2,012.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($288).

Total Amount

$2,012

General + Research + Ownership

Payments

123

Total payment records

General Amount

$2,012

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-12-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040726000227IFamily PracticeMOTBD
I20131202001082IFamily PracticeKSTBD

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
J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg9,07512$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1,497144$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1,088193$0
99214Established patient office or other outpatient visit, 30-39 minutes1,066262$0
36415Insertion of needle into vein for collection of blood sample847421$0
View full utilization report →

Insurance plans in this area (ZIP 64836)

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Provider's Procedures

JONATHAN LYLE MANZER (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO81002Urinalysis, manual test3633
FAMILY MEDICINEMO83036Hemoglobin A1C level177144

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: 5698773539View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
P O D I A T R YMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerAR
Nurse PractitionerMO

Reviews

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Frequently asked questions

What federal number belongs to JONATHAN LYLE MANZER (M.D.)?
The federal identifier for JONATHAN LYLE MANZER (M.D.) is NPI 1407848971.
Is JONATHAN LYLE MANZER (M.D.) currently active in the NPI registry?
CMS-published data lists JONATHAN LYLE MANZER (M.D.) as an active registrant.
What kind of provider is JONATHAN LYLE MANZER (M.D.)?
The page reflects Family Medicine Physician for JONATHAN LYLE MANZER (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place JONATHAN LYLE MANZER (M.D.)?
The snapshot lists Carthage, Missouri for JONATHAN LYLE MANZER (M.D.); download NPPES for the complete set.
How can I contact JONATHAN LYLE MANZER (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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