MANOLO M. MANALO MD
NPI 1083605364
Family Medicine in Fort Wayne, IN

Q: What is Manolo Manalo's NPI number?

The NPI number for Manolo Manalo is 1083605364. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Q: What is Manolo Manalo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Manolo Manalo was last updated on October 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.

Active since November 04, 2005PECOS Enrolled

36.71/100

CMS Quality Rating

2516 E DUPONT RD, FORT WAYNE, IN 46825(260) 471-7197(260) 471-7408 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2020, Jan 19, 2017, Jan 8, 2017 (3 updates tracked since 2017).

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About Manolo M. Manalo Md NPPES

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

MANOLO M. MANALO MD (NPI 1083605364) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01041487A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083605364

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMANOLO M. MANALOCredential: MD

Location Address2516 E DUPONT RDFort Wayne, IN 46825-1608

Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3516 · Fax (260) 479-3520

Phone(260) 471-7197

Fax(260) 471-7408

Sole ProprietorNo

Enumeration DateNovember 4, 2005

Last NPPES UpdateOctober 13, 20203 updates tracked since enumeration

NPPES CertifiedOctober 13, 2020

✔ NPI 1083605364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01041487A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2516 E DUPONT RD, Fort Wayne, IN 46825

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Other Identifiers 3

Medicaid100326320IN

Other000000091895Blue Cross Blue Shield

OtherP00970644IN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Manolo M. Manalo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

36.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

15.86

Improvement Activities

Cost

68.29

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers61 claims127 services$5.11 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers14 claims20 services$1.12 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers11 claims11 services$203.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 18

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

JEAN D. ROSS NP

Nurse Practitioner