MATTHEW ESTEBAN MANTILLA
NPI 1235745605
Physician Assistant in Cooperstown, NY

Active since September 21, 2020PECOS EnrolledAccepts Medicare Assignment
1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3456 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Aug 25, 2023, Sep 21, 2020 (3 updates tracked since 2020).

About Matthew Esteban Mantilla NPPES

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

MATTHEW ESTEBAN MANTILLA (NPI 1235745605) is an individual physician assistant in Cooperstown, New York, licensed in North Carolina (0010-13280) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1235745605
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW ESTEBAN MANTILLA
Location Address1 ATWELL RDCooperstown, NY 13326-1301
Mailing Address66 Brunlar Ct Apt G27Cooperstown, NY 13326-1479 · (570) 690-3025
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 21, 2020
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
NPI 1235745605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-13280
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 ATWELL RD, Cooperstown, NY 13326

Secondary Practice Location 1

Location 11090 Medical Center DrWilmington, NC 28401-7353 · Phone (910) 662-8550 · Fax (910) 343-1924

Accepted 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

Matthew Esteban Mantilla 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 ID345652400
PECOS Enrollment IDI20230830001246
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 8

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.
192 services124 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.
112 services91 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
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
21 services20 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
20 services20 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

Pender Memorial Hospital

Critical Access Hospitals · Burgaw, NC
OwnershipGovernment - Local
CMS Certification Number341307
Location507 E Fremont StBurgaw, NC 28425 · Pender County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13326 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers57 claims57 services$42.97 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers22 claims38 services$1.92 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers87 claims87 services$105.31 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers103 claims231 services$40.27 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers49 claims221 services$22.43 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers28 claims133 services$16.42 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.

Nurse Practitioner (Pediatrics)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Social Worker (Clinical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant (Surgical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Pediatrics
1 ATWELL RD
COOPERSTOWN, NY 13326
Midwife
1 ATWELL RD
COOPERSTOWN, NY 13326

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 Matthew Mantilla's NPI number?

The NPI number for Matthew Mantilla is 1235745605. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Matthew Mantilla located?

Matthew Mantilla practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 547-3456.

What is Matthew Mantilla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Mantilla enrolled in Medicare?

Yes. Matthew Mantilla 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 Matthew Mantilla accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Matthew Mantilla 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 Matthew Mantilla affiliated with any hospitals?

According to CMS data, Matthew Mantilla is affiliated with Novant Health New Hanover Regional Medical Center, Novant Health Brunswick Medical Center and Pender Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Mantilla was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.