JOHN S MANCOLL (MD) – Plastic Surgery Physician, NPI 1992706337

JOHN S MANCOLL (MD) is a healthcare provider. based in Virginia beach, Virginia. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 0101054100 (VA). The NPI Number for JOHN S MANCOLL (MD) is 1992706337

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
JOHN S MANCOLL (MD)
NPI
1992706337
Phone
(757) 305-9185
Address
1925 GLENN MITCHELL DR STE 206
Enumeration Date
9 August 2005
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7573059185
Graduation Year
1991 (35 years ago)
PAC ID
6406954759
Group Practice PAC ID
2860550712
Professional Enrollment ID
I20081021000463
Address ID
VA234567000VI2017XARCH301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

183 PLASTIC AND RECONSTRUCTIVE SURGERY in VA

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Provider Addresses for JOHN S MANCOLL (MD)

  • Glenn Mitchell Drive, Landstown, Virginia Beach, Virginia, 23456-2613, United States

    VIRGINIA BEACH, VA 234560170

    Phone: (757) 305-9185

    Fax: (757) 305-9186

    Type: Mailing

  • 2017 FISHER ARCH

    VIRGINIA BEACH, VA 23456

    Phone: (757) 305-9185

    Fax: (757) 305-9186

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $2,081.

Total Amount is formed as General ($2,081) + Research ($0) + Ownership ($0) = $2,081.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($1,815).

Total Amount

$2,081

General + Research + Ownership

Payments

29

Total payment records

General Amount

$2,081

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2008-10-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081021000463IPlastic And Reconstructive SurgeryVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23456)

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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: 2860550712View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalVA

Reviews

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Frequently asked questions

How do payers reference JOHN S MANCOLL (MD)?
For JOHN S MANCOLL (MD), use NPI 1992706337 as the unique 10-digit identifier.
Is JOHN S MANCOLL (MD) shown as active in public data?
Registry records indicate JOHN S MANCOLL (MD) maintains an active NPI.
What kind of doctor is JOHN S MANCOLL (MD)?
JOHN S MANCOLL (MD) is associated with Plastic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is JOHN S MANCOLL (MD) associated with Virginia Beach?
Public fields place JOHN S MANCOLL (MD) around Virginia Beach, Virginia. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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