DR. MARK MANTELL (M.D.) – Vascular Surgery Physician, NPI 1104984046
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
371 VASCULAR SURGERY in PA
Loading map...
Provider Addresses for DR. MARK MANTELL (M.D.)
Penn Medicine Rittenhouse, 1800, Lombard Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19146, United States
SUITE 805
PHILADELPHIA, PA 191468400
Phone: (215) 893-2996
Fax: (215) 893-7354
Type: Mailing
PO BOX 416147
BOSTON, MA 022416147
Phone: (610) 644-8900
Fax: (484) 924-0053
Type: Mailing
51 N. 39TH STREET
HEART & VASCULAR PAVILION 4TH FLOOR
PHILADELPHIA, PA 191042640
Phone: (215) 662-9551
Fax: (215) 243-3225
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $2,040.
Total Amount is formed as General ($2,040) + Research ($0) + Ownership ($0) = $2,040.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ETS Wound Care LLC ($2,000).
Total Amount
$2,040
General + Research + Ownership
Payments
2
Total payment records
General Amount
$2,040
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ETS Wound Care LLC | $2,000 |
| Baxter Healthcare | $40 |
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: 2014-01-09
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 |
|---|---|---|---|---|
| I20140109001458 | I | Vascular Surgery | PA | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 237 | 146 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 102 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 54 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
| 36821 | Relocation of arm vein with connection to arm artery for hemodialysis | 51 | 47 | $0 |
Insurance plans in this area (ZIP 19146)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | MA | |
| Interventional Radiology | MD | |
| Interventional Radiology, Diagnostic Radiology | PA | |
| Nephrology, Internal Medicine, Interventional Radiology, Interventional Radiology, Nephrology | PA | |
| Interventional Radiology, Diagnostic Radiology, Interventional Radiology | NJ | |
| Interventional Radiology, Diagnostic Radiology | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.