KEVIN A MANSMANN MD
NPI 1114923752
Orthopaedic Surgery in Paoli, PA

NPI Status: Active since June 27, 2005

Contact Information

250 W LANCASTER AVE
STE 310
PAOLI, PA
ZIP 19301
Phone: (610) 644-6040
Fax: (610) 644-7202

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  • Individual
  • Male
  • Orthopaedic Surgery
  • PECOS Enrolled

About KEVIN MANSMANN

This page provides the complete NPI Profile along with additional information for Kevin Mansmann, a provider established in Paoli, Pennsylvania with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1114923752 assigned on June 2005. The practitioner's primary taxonomy code is 207X00000X with license number MD044086E (PA). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1114923752
Provider Name
KEVIN A MANSMANN MD
Gender
Male
Entity Type
Individual
Location Address
250 W LANCASTER AVE STE 310 PAOLI, PA 19301
Location Phone
(610) 644-6040
Location Fax
(610) 644-7202
Mailing Address
250 W LANCASTER AVE STE 310 PAOLI, PA 19301
Mailing Phone
(610) 644-6040
Mailing Fax
(610) 644-7202
Is Sole Proprietor?
No
Enumeration Date
06-27-2005
Last Update Date
10-29-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD044086E
License State
PA
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0012857740002MEDICAID (05)PA 
A53701MEDICARE UPIN (02) 
613677MEDICARE ID-TYPE UNSPECIFIED (04)PA 

Medicare Participation & PECOS Enrollment Status

Kevin Mansmann is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 185 times for 114 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 144 times for 101 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 374 times for 214 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 53 times for 47 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

This service was performed 62 times for 42 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

This service was performed 242 times for 85 patients

Lower limb (leg) arthroscopy (minimally invasive joint repair)

Lower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.

This service was performed for 18 patients

New patient office or other outpatient visit, 15-29 minutes

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

This service was performed 33 times for 33 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 32 times for 32 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 12 times for 12 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 19 times for 19 patients

Upper limb (arm) arthroscopy (minimally invasive joint repair)

Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.

This service was performed for 1-10 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19301 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.69
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $23.17
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.47
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $18.61
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114923752, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 8 + 2 + 6 + 7 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1114923752.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
250 W LANCASTER AVE, SUITE 310
PAOLI, PA 19301
Family Medicine
250 W LANCASTER AVE, SUITE 120
PAOLI, PA 19301
Family Medicine
250 W LANCASTER AVE, SUITE 120
PAOLI, PA 19301
Family Medicine
250 W LANCASTER AVE, SUITE 120
PAOLI, PA 19301
Family Medicine
250 W LANCASTER AVE, SUITE 120
PAOLI, PA 19301
Family Medicine
250 W LANCASTER AVE, SUITE 120
PAOLI, PA 19301
Family Medicine
250 W LANCASTER AVE, SUITE 120
PAOLI, PA 19301
Occupational Therapist (Hand)
250 W LANCASTER AVE, SUITE 205
PAOLI, PA 19301
Psychiatry & Neurology (Neurology)
250 W LANCASTER AVE, SUITE 250
PAOLI, PA 19301
Acupuncturist
250 W LANCASTER AVE
PAOLI, PA 19301
Psychiatry & Neurology (Neurology)
250 W LANCASTER AVE, SUITE 250
PAOLI, PA 19301
Dentist
250 W LANCASTER AVE, SUITE 210
PAOLI, PA 19301
Occupational Therapist
250 W LANCASTER AVE, SUITE 205
PAOLI, PA 19301
Dentist (Endodontics)
250 W LANCASTER AVE, SUITE 300
PAOLI, PA 19301
Physician Assistant
250 W LANCASTER AVE, SUITE 120
PAOLI, PA 19301
Dentist (Orthodontics and Dentofacial Orthopedics)
250 W LANCASTER AVE, #230
PAOLI, PA 19301
Dentist (General Practice)
250 W LANCASTER AVE, SUITE 240
PAOLI, PA 19301
Internal Medicine
250 W LANCASTER AVE, SUITE 200
PAOLI, PA 19301
Acupuncturist
250 W LANCASTER AVE, SUITE 220
PAOLI, PA 19301
Family Medicine
250 W LANCASTER AVE, SUITE 215
PAOLI, PA 19301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114923752, enumerated as an "individual" on June 27, 2005.

The provider is located at 250 W LANCASTER AVE STE 310 PAOLI, PA 19301 and the phone number is (610) 644-6040.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.