PAUL JAMES MCMANUS DO
NPI 1093335366
Family Medicine in Plymouth, MN

Active since April 16, 2020PECOS EnrolledAccepts Medicare Assignment
4155 COUNTY ROAD 101 N, PLYMOUTH, MN 55446(952) 993-8900(952) 993-8955 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul James Mcmanus Do NPPES

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

PAUL JAMES MCMANUS DO (NPI 1093335366) is an individual family medicine provider in Plymouth, Minnesota, licensed in Minnesota (70009) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in St Louis Park.

NPPES Registry Identity

NPI1093335366
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL JAMES MCMANUSCredential: DO
Location Address4155 COUNTY ROAD 101 NPlymouth, MN 55446-2307
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Fax(952) 993-8955
Sole ProprietorYes
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2020
Enumeration DateApril 16, 2020
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
NPI 1093335366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 70009
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.
4155 COUNTY ROAD 101 N, Plymouth, MN 55446

Secondary Practice Location 1

Location 16600 Excelsior Blvd Ste 160St Louis Park, MN 55426-4713 · Phone (952) 993-7705

Accepted 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

Paul James Mcmanus Do 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 ID5597180505
PECOS Enrollment IDI20230818003153
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 8

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 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.
180 services128 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
120 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services51 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.
46 services46 patients
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.
19 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55446 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Physical Therapist
4155 COUNTY ROAD 101 N, 2ND FLOOR
PLYMOUTH, MN 55446
Family Medicine
4155 COUNTY ROAD 101 N
PLYMOUTH, MN 55446
Physical Therapist
4155 COUNTY ROAD 101 N
PLYMOUTH, MN 55446
Physician Assistant
4155 COUNTY ROAD 101 N
PLYMOUTH, MN 55446
Internal Medicine
4155 COUNTY ROAD 101 N
PLYMOUTH, MN 55446
Nurse Practitioner
4155 COUNTY ROAD 101 N
PLYMOUTH, MN 55446
Pediatrics
4155 COUNTY ROAD 101 N
PLYMOUTH, MN 55446
Family Medicine
4155 COUNTY ROAD 101 N
PLYMOUTH, MN 55446

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 Paul Mcmanus's NPI number?

The NPI number for Paul Mcmanus is 1093335366. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Paul Mcmanus located?

Paul Mcmanus practices at 4155 County Road 101 N, Plymouth, MN 55446. The listed phone number is (952) 993-8900.

What is Paul Mcmanus's specialty?

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

Is Paul Mcmanus enrolled in Medicare?

Yes. Paul Mcmanus 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 Paul Mcmanus accept?

Health plans from HealthPartners and Medica list Paul Mcmanus 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 Paul Mcmanus affiliated with any hospitals?

According to CMS data, Paul Mcmanus is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Paul Mcmanus was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.