JONATHAN M MONGOLD D.O.
NPI 1205179553
Family Medicine in Lafayette, IN

Q: What is Jonathan Mongold's NPI number?

The NPI number for Jonathan Mongold is 1205179553. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Q: What is Jonathan Mongold'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 Jonathan Mongold was last updated on January 27, 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.

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment

5177 MCCARTY LN, LAFAYETTE, IN 47905(765) 448-8000 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 27, 2021, Mar 17, 2018, Dec 6, 2017 and 1 more (4 updates tracked since 2017).

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About Jonathan M Mongold D.o. NPPES

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

JONATHAN M MONGOLD D.O. (NPI 1205179553) is an individual family medicine provider in Lafayette, Indiana, licensed in Indiana (02005180A) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Lafayette, and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1205179553

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJONATHAN M MONGOLDCredential: D.O.

Location Address5177 MCCARTY LNLafayette, IN 47905-8764

Mailing Address1200 W White River Blvd # 4300Muncie, IN 47303-4988 · (877) 668-5621

Phone(765) 448-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 4, 2013

Last NPPES UpdateJanuary 27, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2021

✔ NPI 1205179553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 02005180A

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 02005180A (IN)

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 02005180A (IN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5177 MCCARTY LN, Lafayette, IN 47905

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Secondary Practice Location 1

Location 12160 S 1st Ave, Loyola Outpatient Center, 4300Maywood, IL 60153-3328 · Phone (708) 216-6006 · Fax (708) 216-2683

Other Identifiers 4

Other000001116759IN · Anthem Family Med Pin

Other000001117320IN · Anthem Urgent Care Pin

Other000001106441IN · Anthem Sports Med Pin

Medicaid300005550IN

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 and accepts Medicare assignment

Jonathan M Mongold D.o. 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 ID2466754718

PECOS Enrollment IDI20170830000402

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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

366 services49 patients

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.

359 services159 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

357 services49 patients

Aspiration and/or injection of fluid from large joint 20610

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.

68 services38 patients

Osteopathic manipulative treatment, 9-10 body regions 98929

Osteopathic Manipulative Treatment (OMT) involves hands-on care. In a 9-10 body regions procedure, a doctor manipulates muscles and joints using techniques like stretching, gentle pressure, and resistance to improve health and wellness. It's often used to ease pain, promote healing, and increase overall mobility.

45 services12 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

20 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150109

Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150173

Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Indiana University Health White Memorial Hospital

Critical Access Hospitals · Monticello, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151312

Location720 South Sixth StMonticello, IN 47960 · White County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

6 suppliers28 claims56 services$6.36 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers13 claims13 services$1.05 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers11 claims11 services$38.09 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers11 claims11 services$83.15 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers12 claims31 services$35.44 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers12 claims65 services$2.25 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 20

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

DR. SIDNEY D BRUCE MD

Surgery