MARY PATRICIA MCMANMON MD
NPI 1255363172
Family Medicine in Elkhart, IN

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
148 W HIVELY AVE STE 1, ELKHART, IN 46517(574) 293-0052(574) 343-1390 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2025, Nov 3, 2023 (2 updates tracked since 2023).

About Mary Patricia Mcmanmon Md NPPES

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

MARY PATRICIA MCMANMON MD (NPI 1255363172) is an individual family medicine provider in Elkhart, Indiana, licensed in Indiana (01055036A) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Saint Louis University School Of Medicine (1989).

NPPES Registry Identity

NPI1255363172
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY PATRICIA MCMANMONCredential: MD
Location Address148 W HIVELY AVE STE 1Elkhart, IN 46517-2191
Mailing Address2714 S 11th St, Suite ANiles, MI 49120-4761 · (269) 683-1700 · Fax (269) 683-7038
Fax(574) 343-1390
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1989
Enumeration DateJuly 7, 2006
Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
NPI 1255363172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IN · 01055036A Licensed in MI · 4301079052
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.
148 W HIVELY AVE STE 1, Elkhart, IN 46517

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

Mary Patricia Mcmanmon 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 ID8325937949
PECOS Enrollment IDI20060804000290
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 3

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.

Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
92 services53 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
81 services52 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46517 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.

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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%106 patients
Breast Cancer Screening
26%623 patients2/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
30%321 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
21%1,218 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
21%609 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
24%609 patients4/55-star benchmark: 91%
Falls: Screening for Future Fall Risk
49%320 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
52%1,770 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%2,754 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 39% · 2,084 patients
Patients screened: 46% · 2,084 patients
43%273 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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 suppliers29 claims111 services$6.34 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

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

Nurse Practitioner
148 W HIVELY AVE STE 1
ELKHART, IN 46517

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 Mary Mcmanmon's NPI number?

The NPI number for Mary Mcmanmon is 1255363172. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Mary Mcmanmon located?

Mary Mcmanmon practices at 148 W Hively Ave Ste 1, Elkhart, IN 46517. The listed phone number is (574) 293-0052.

What is Mary Mcmanmon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Mcmanmon enrolled in Medicare?

Yes. Mary Mcmanmon 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 Mary Mcmanmon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mary Mcmanmon 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 Mary Mcmanmon affiliated with any hospitals?

According to CMS data, Mary Mcmanmon is affiliated with Elkhart General Hospital.

When was this NPI record last updated?

The NPPES record for Mary Mcmanmon was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.