SUDHAKAR B. MANNAM (MD) – Pain Medicine Physician, NPI 1386629822
Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
497 PAIN MANAGEMENT in PA
Provider Addresses for SUDHAKAR B. MANNAM (MD)
236 Elm Dr Ste 105
Waynesburg, PA 153708265
Phone: (724) 812-5580
Fax: (724) 812-5682
Type: Location
2102 Sturbridge Ct
Sewickley, PA 151438874
Phone: (724) 812-5580
Type: Location
West Ingomar Road, Ingomar, McCandless, Allegheny County, Pennsylvania, 15237-5344, United States
INGOMAR, PA 151276604
Phone: (201) 804-2800
Type: Mailing
205 EASY ST STE 204
UNIONTOWN, PA 154013128
Phone: (724) 812-5580
Fax: (201) 812-5682
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $905.
Total Amount is formed as General ($905) + Research ($0) + Ownership ($0) = $905.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: ABBVIE INC. ($749).
Total Amount
$905
General + Research + Ownership
Payments
14
Total payment records
General Amount
$905
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $749 |
| Collegium Pharmaceutical, Inc. | $118 |
| Medtronic, Inc. | $20 |
| Valinor Pharma, LLC | $18 |
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: 2021-08-11
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 |
|---|---|---|---|---|
| I20051114000713 | I | Pain Management | PA | TBD |
| I20210811003926 | I | Pain Management | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,176 | 127 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 1,103 | 126 | $0 |
| 96130 | Evaluation of psychological test, first hour | 686 | 101 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 686 | 101 | $0 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 685 | 101 | $0 |
Insurance plans in this area (ZIP 15370)
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