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RYAN DAVID MANTOOTH MD
NPI 1114450822
Emergency Medicine in Fayetteville, AR

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
3215 N NORTH HILLS BLVD., FAYETTEVILLE, AR 72703(479) 463-7102(479) 463-5987 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2021, Apr 30, 2019, Apr 10, 2017 (3 updates tracked since 2017).

About Ryan David Mantooth Md NPPES

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

RYAN DAVID MANTOOTH MD (NPI 1114450822) is an individual emergency medicine provider in Fayetteville, Arkansas, licensed in Arkansas (E-13154) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2017).

NPPES Registry Identity

NPI1114450822
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRYAN DAVID MANTOOTHCredential: MD
Location Address3215 N NORTH HILLS BLVD.Fayetteville, AR 72703
Mailing AddressPo Box 550Lowell, AR 72745-1900 · (479) 473-7775
Phone(479) 463-7102
Fax(479) 463-5987
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateApril 9, 20213 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1114450822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AR · E-13154✔ Licensed in AL · MD.37708
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3215 N NORTH HILLS BLVD., Fayetteville, AR 72703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Ryan David Mantooth Md 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 ID143507921
PECOS Enrollment IDI20200805002625
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
228 services219 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
157 services156 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services57 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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

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

DR. TREY BECTON M.D.
Hospitalist
3215 N NORTH HILLS BLVD.
FAYETTEVILLE, AR 72703
Washington County (479) 463-7102

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 Ryan Mantooth's NPI number?

The NPI number for Ryan Mantooth is 1114450822. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Ryan Mantooth located?

Ryan Mantooth practices at 3215 N North Hills Blvd., Fayetteville, AR 72703. The listed phone number is (479) 463-7102.

What is Ryan Mantooth's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ryan Mantooth enrolled in Medicare?

Yes. Ryan Mantooth 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 Ryan Mantooth accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Ryan Mantooth 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.

When was this NPI record last updated?

The NPPES record for Ryan Mantooth was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.