SVETLANA NIKOLAEVA MANUKYAN NP
NPI 1205479268
Nurse Practitioner - Family in Plano, TX

Active since October 23, 2019PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
6130 W PARKER RD, PLANO, TX 75093(972) 820-9494 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 7, 2023, Jun 9, 2022, Oct 23, 2019 (3 updates tracked since 2019).

About Svetlana Nikolaeva Manukyan Np NPPES

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

SVETLANA NIKOLAEVA MANUKYAN NP (NPI 1205479268) is an individual family provider in Plano, Texas, licensed in Texas (1070406) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205479268
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSVETLANA NIKOLAEVA MANUKYANCredential: NP
Location Address6130 W PARKER RDPlano, TX 75093-7901
Mailing Address6130 W Parker RdPlano, TX 75093-7901
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 23, 2019
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1205479268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1070406
6130 W PARKER RD, Plano, TX 75093

Accepted 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

Svetlana Nikolaeva Manukyan Np 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 ID1557799723
PECOS Enrollment IDI20220727002831
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 Reassignments

2

Medicare enrollment records show Svetlana Manukyan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
6513 PRESTON RD STE 300
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
Gastroenterology
701 TUSCAN DR, STE 110
Irving, TX 75039
  • Reassigned Medicare billing, Texas enrollment
  • 575 clinicians in this Medicare group

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 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.

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.
47 services40 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.
32 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services18 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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES 18

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

Surgery
6130 W PARKER RD, STE 103
PLANO, TX 75093
Surgery (Plastic and Reconstructive Surgery)
6130 W PARKER RD, STE 110
PLANO, TX 75093
Obstetrics & Gynecology
6130 W PARKER RD, SUITE 106
PLANO, TX 75093
Pediatrics
6130 W PARKER RD, SUITE 400
PLANO, TX 75093
Obstetrics & Gynecology
6130 W PARKER RD, SUITE 412
PLANO, TX 75093
Internal Medicine
6130 W PARKER RD, STE 512
PLANO, TX 75093
Specialist
6130 W PARKER RD, SUITE 505
PLANO, TX 75093
Obstetrics & Gynecology
6130 W PARKER RD, SUITE 106
PLANO, TX 75093

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 Svetlana Manukyan's NPI number?

The NPI number for Svetlana Manukyan is 1205479268. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Where is Svetlana Manukyan located?

Svetlana Manukyan practices at 6130 W Parker Rd, Plano, TX 75093. The listed phone number is (972) 820-9494.

What is Svetlana Manukyan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Svetlana Manukyan enrolled in Medicare?

Yes. Svetlana Manukyan 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 organizations bill Medicare for Svetlana Manukyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Svetlana Manukyan reassigns Medicare benefits to 2 organizations: Texas Gastroenterology Center PLLC (Plano, TX) and Texas Digestive Disease Consultants, PLLC (Irving, TX). Each 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 Svetlana Manukyan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Svetlana Manukyan accept?

Health plans from Imperial Insurance Companies, Inc. list Svetlana Manukyan 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 Svetlana Manukyan was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.