MARC ANGELO MANCUSO M.D.
NPI 1063498418
Radiology - Diagnostic Radiology in Charlotte, NC

Q: What is Marc Mancuso's NPI number?

The NPI number for Marc Mancuso is 1063498418. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Q: What is Marc Mancuso's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Marc Mancuso was last updated on December 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment

700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202(704) 334-7800(704) 414-7512 Get Directions Write a Review

NPPES record last updated: December 20, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 20, 2017, Dec 28, 2015 (2 updates tracked since 2015).

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About Marc Angelo Mancuso M.d. NPPES

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

MARC ANGELO MANCUSO M.D. (NPI 1063498418) is an individual diagnostic radiology provider in Charlotte, North Carolina, licensed in North Carolina (200700335) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1063498418

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMARC ANGELO MANCUSOCredential: M.D.

Location Address700 E MOREHEAD ST STE 300Charlotte, NC 28202-2742

Mailing Address700 E Morehead St Ste 300Charlotte, NC 28202-2742 · (704) 334-7800 · Fax (704) 414-7512

Phone(704) 334-7800

Fax(704) 414-7512

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2001

Enumeration DateDecember 19, 2005

Last NPPES UpdateDecember 20, 20172 updates tracked since enumeration

✔ NPI 1063498418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in NC · 200700335✔ Licensed in SC · 29892✔ Licensed in MA · 227556✔ Licensed in NH · 12626

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License 200700335 (NC)

700 E MOREHEAD ST STE 300, Charlotte, NC 28202

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Secondary Practice Location 1

Location 11701 East BlvdCharlotte, NC 28203-5823 · Phone (704) 334-7800 · Fax (704) 414-7512

Other Identifiers 3

Medicaid5906571NC

OtherP00410888NC · Rr Medicaire

MedicaidN00337SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc Angelo Mancuso M.d. 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 ID8628017431

PECOS Enrollment IDI20070705000603, I20070905000397

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.

Medicare Billing Reassignments

Medicare enrollment records show Marc Mancuso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charlotte Radiology P A

Same address

Specialist

700 E MOREHEAD ST STE 300
Charlotte, NC 28202

Reassigned Medicare billing, North Carolina and South Carolina enrollments
143 clinicians in this Medicare group

NPI 1649220443 (704) 362-5391

Blue Ridge Healthcare Medical Group, Inc.

48 mi

Obstetrics & Gynecology

2134 14TH AVENUE CIR NW
Hickory, NC 28601

Reassigned Medicare billing, North Carolina enrollment
322 clinicians in this Medicare group

NPI 1568934487 (828) 580-2129

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

51 services48 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

27 services27 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340098

Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28202 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PAMELA SUTTON ORAVETZ P.A.-C

Physician Assistant (Medical)