DR. DARRIN RICHARD MANGIACARNE (D.O.) – Addiction Medicine (Family Medicine) Physician, NPI 1417148024
Addiction Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. DARRIN RICHARD MANGIACARNE (D.O.)
4701 E Begich Cir
Wasilla, AK 996547605
Phone: (907) 290-5450
Fax: (907) 290-5460
Type: Location
4750 E Begich Cir
Wasilla, AK 996547605
Phone: (907) 290-5450
Fax: (907) 290-5460
Type: Location
7859 LAKE WORTH RD
LAKE WORTH, FL 334673225
Phone: (561) 465-1000
Type: Location
5060, Valley View Boulevard North, Fairland, Roanoke, Salem (city), Virginia, 24012, United States
ROANOKE, VA 240122038
Phone: (540) 344-8838
Fax: (540) 344-4484
Type: Mailing
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 462502890
Phone:
Type: Mailing
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN 462561661
Phone: (317) 849-8222
Type: Location
225 N FEDERAL HWY
POMPANO BEACH, FL 330624319
Phone: (561) 465-1000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $328.
Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.
Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Braeburn Inc. ($328).
Total Amount
$328
General + Research + Ownership
Payments
4
Total payment records
General Amount
$328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $328 |
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: 2021-12-29
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 |
|---|---|---|---|---|
| I20151007000897 | I | Addiction Medicine | IN | TBD |
| I20211229001750 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99654)
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Reviews
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