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DR. KYLE MANNION M.D.
NPI 1104031053
Otolaryngology in Nashville, TN

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
MEDICAL CENTER EAST SOUTH TOWER, 1215 21ST AVENUE SOUTH, SUITE 7209, NASHVILLE, TN 37232(615) 322-6180(615) 936-2887 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2020, Jan 21, 2016 (2 updates tracked since 2016).

About Dr. Kyle Mannion M.d. NPPES

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

DR. KYLE MANNION M.D. (NPI 1104031053) is an individual otolaryngology provider in Nashville, Tennessee, licensed in Tennessee (MD0000042138) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of University Of Connecticut School Of Medicine (2002).

NPPES Registry Identity

NPI1104031053
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KYLE MANNIONCredential: M.D.
Location AddressMEDICAL CENTER EAST SOUTH TOWER, 1215 21ST AVENUE SOUTH, SUITE 7209Nashville, TN 37232-8605
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000 · Fax (615) 936-2887
Phone(615) 322-6180
Fax(615) 936-2887
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2002
Enumeration DateMay 14, 2007
Last NPPES UpdateMarch 21, 20222 updates tracked since enumeration
NPPES CertifiedMarch 21, 2022
✔ NPI 1104031053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in TN · MD0000042138✔ Licensed in MA · 236177
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License MD42138 (TN)
MEDICAL CENTER EAST SOUTH TOWER, Nashville, TN 37232
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Other Identifiers 1

Medicaid2157870MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.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

Dr. Kyle Mannion 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 ID8123113115
PECOS Enrollment IDI20071005000356
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 Reassignment

Medicare enrollment records show Kyle Mannion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vanderbilt University Medical Center
0.2 mi
Internal Medicine
1301 22ND AVE S
Nashville, TN 37232
  • Reassigned Medicare billing, Tennessee enrollment
  • 4,711 clinicians in this Medicare group
NPI 1104202761 (615) 936-2000

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 7

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.
161 services104 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.
106 services77 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
75 services56 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
Removal of lymph nodes, muscle, and tissue of neck 38724
This procedure, known as a neck dissection, involves removing lymph nodes, muscle, and tissue from the neck. It's performed to treat or prevent the spread of disease, often cancer. It's a major surgery, but it can help ensure your health and recovery.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
1 supplier14 claims2,370 services$2.38 avg. paid by Medicare
Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each A7508
DME-Orthotic Devices · category DF000N
1 supplier14 claims1,705 services$2.74 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers44 claims1,145 services$3.62 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers52 claims29,231 services$0.34 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers18 claims18 services$30.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

NICOLE S MOTZNY PT
Physical Therapist
MEDICAL CENTER EAST SOUTH TOWER, SUITE 3200 VANDERBILT ORTHOPAEDIC INSTITUTUTE
NASHVILLE, TN 37232
Davidson County (615) 322-0100
DR. LINDSEY RENTMEESTER WHEELER AUD
Audiologist
MEDICAL CENTER EAST SOUTH TOWER, 1215 21ST AVEUNE SOUTH, SUITE 9302
NASHVILLE, TN 37232
Davidson County (615) 936-6392
MATT SVENBY ATC
Specialist/Technologist (Athletic Trainer)
MEDICAL CENTER EAST SOUTH TOWER, SUITE 3200
NASHVILLE, TN 37232
Davidson County (615) 418-1026
MRS. SUSAN ELISABETH MARKO MA, CCC-SLP
Speech-Language Pathologist
MEDICAL CENTER EAST SOUTH TOWER, 1215 21ST AVENUE SOUTH, SUITE 6209
NASHVILLE, TN 37232
Davidson County (615) 936-7925
MR. DARRELL RAY LEE P.T.
Physical Therapist (Orthopedic)
MEDICAL CENTER EAST SOUTH TOWER, SUITE 3200
NASHVILLE, TN 37232
Davidson County (615) 322-2825
BARBARA V EDWARDS MED, ATC/L
Specialist/Technologist (Athletic Trainer)
MEDICAL CENTER EAST SOUTH TOWER, SUITE 3200
NASHVILLE, TN 37232
Davidson County (615) 418-1023
BRIDGETTE MICHELLE WILLIAMSON BA
Specialist/Technologist (Athletic Trainer)
MEDICAL CENTER EAST SOUTH TOWER, SUITE 3200
NASHVILLE, TN 37232
Davidson County (615) 418-1008
KELLY JO HOORMANN MSPT
Physical Therapist
MEDICAL CENTER EAST SOUTH TOWER, SUITE 3312
NASHVILLE, TN 37232
Davidson County (615) 343-1207

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 Kyle Mannion's NPI number?

The NPI number for Kyle Mannion is 1104031053. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Kyle Mannion located?

Kyle Mannion practices at Medical Center East South Tower 1215 21st Avenue South, Suite 7209, Nashville, TN 37232. The listed phone number is (615) 322-6180.

What is Kyle Mannion's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kyle Mannion enrolled in Medicare?

Yes. Kyle Mannion 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.

Which organization bills Medicare for Kyle Mannion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Mannion reassigns Medicare benefits to Vanderbilt University Medical Center (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Mannion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Mannion accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Kyle Mannion 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 Kyle Mannion affiliated with any hospitals?

According to CMS data, Kyle Mannion is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Kyle Mannion was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.