JOSE M MANJON (MD) – Obstetrics & Gynecology Physician, NPI 1962497628
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,145 OBSTETRICS/GYNECOLOGY in PA
Provider Addresses for JOSE M MANJON (MD)
UPMC Southgate Professional Building Parking Lot (Visitors & Staff Only), 409, South 2nd Street, SoMa, South Harrisburg, Harrisburg, Dauphin County, Pennsylvania, 17122, United States
SUITE 2F
HARRISBURG, PA 171041612
Phone:
Type: Mailing
4300 LONDONDERRY RD STE 305
HARRISBURG, PA 171095317
Phone: (717) 724-6788
Fax: (717) 730-0099
Type: Location
1600 6th Ave Ste 117
York, PA 174032627
Phone: (717) 840-9885
Fax: (717) 840-9313
Type: Location
2025 Technology Pkwy Ste 109
Mechanicsburg, PA 170509401
Phone: (717) 791-2590
Fax: (717) 221-5466
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $220.
Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Axonics, Inc. ($165).
Total Amount
$220
General + Research + Ownership
Payments
6
Total payment records
General Amount
$220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $165 |
| ABBVIE INC. | $55 |
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: 2007-06-13
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 |
|---|---|---|---|---|
| I20070613000621 | I | Obstetrics/Gynecology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 37 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 34 | 28 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 28 | 28 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 24 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 18 | $0 |
Insurance plans in this area (ZIP 17104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Family Practice | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | TN | |
| Hospitalist, Internal Medicine | PA | |
| Internal Medicine | PA |
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