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MARIBETH TERASA MANDALL PA-C
NPI 1013348945
Physician Assistant in Durham, NC

Active since December 03, 2013PECOS EnrolledAccepts Medicare Assignment
MARSHALL PICKINS CLINIC, 2100 ERWIN ROAD, BOX 3886, DUMC, DURHAM, NC 27710(919) 681-1601 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Feb 23, 2022, Feb 15, 2022 and 1 more (4 updates tracked since 2016).

About Maribeth Terasa Mandall Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIBETH TERASA MANDALL PA-C (NPI 1013348945) is an individual physician assistant in Durham, North Carolina, licensed in North Carolina (0010-06461) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1013348945
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIBETH TERASA MANDALLCredential: PA-C
Location AddressMARSHALL PICKINS CLINIC, 2100 ERWIN ROAD, BOX 3886, DUMCDurham, NC 27710-0000
Mailing Address2100 Erwin RdDurham, NC 27705-3941 · (919) 684-6721 · Fax (919) 681-7085
Phone(919) 681-1601
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 3, 2013
Last NPPES UpdateAugust 7, 20244 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1013348945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-06461
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
MARSHALL PICKINS CLINIC, Durham, NC 27710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maribeth Terasa Mandall Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244519411
PECOS Enrollment IDI20161110000499
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maribeth Mandall's NPI number?

The NPI number for Maribeth Mandall is 1013348945. It was assigned to this individual provider in the NPPES registry on December 3, 2013.

Where is Maribeth Mandall located?

Maribeth Mandall practices at Marshall Pickins Clinic 2100 Erwin Road, Box 3886, Dumc, Durham, NC 27710. The listed phone number is (919) 681-1601.

What is Maribeth Mandall's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maribeth Mandall enrolled in Medicare?

Yes. Maribeth Mandall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maribeth Mandall accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Maribeth Mandall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maribeth Mandall affiliated with any hospitals?

According to CMS data, Maribeth Mandall is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Maribeth Mandall was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.