ANTHONY MANCUSO II DO
NPI 1255871687
Orthopaedic Surgery in Lexington, KY

Q: What is Anthony Mancuso's NPI number?

The NPI number for Anthony Mancuso is 1255871687. It was assigned to this individual provider in the NPPES registry on March 4, 2017.

Q: What is Anthony Mancuso's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Mancuso was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 04, 2017PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

740 S LIMESTONE STE D135, LEXINGTON, KY 40536(859) 323-5533(859) 257-3634 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Anthony Mancuso Ii Do NPPES

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

ANTHONY MANCUSO II DO (NPI 1255871687) is an individual orthopaedic surgery provider in Lexington, Kentucky, licensed in Kentucky (TP812) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Northwest Texas Hospital, and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1255871687

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameANTHONY MANCUSO IICredential: DO

Location Address740 S LIMESTONE STE D135Lexington, KY 40536-2603

Mailing Address2213 Cherry StToledo, OH 43608-2603 · (419) 251-6553 · Fax (419) 251-9672

Phone(859) 323-5533

Fax(859) 257-3634

Sole ProprietorNo

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2017

Enumeration DateMarch 4, 2017

Last NPPES UpdateJune 15, 2022

NPPES CertifiedJune 15, 2022

✔ NPI 1255871687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in KY · TP812

Definition

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.

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

740 S LIMESTONE STE D135, Lexington, KY 40536

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Secondary Practice Location 1

Location 12213 Cherry StToledo, OH 43608-2603 · Phone (419) 251-6553 · Fax (419) 251-9672

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Anthony Mancuso Ii Do 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 ID9537438528

PECOS Enrollment IDI20231120000045

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 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 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.

55 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

37 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

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.

18 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Northwest Texas Hospital

Acute Care Hospitals · Amarillo, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450209

Location1501 S Coulter StAmarillo, TX 79106 · Potter County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 10

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

RYAN DEANGELIS MD

Orthopaedic Surgery (Orthopaedic Trauma)