ANTHONY MANCUSO II DO
NPI 1255871687
Orthopaedic Surgery in Lexington, KY
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
Specialties & Licenses 2
Secondary Practice Location 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Anthony Mancuso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Amarillo, TX 79109
- Reassigned Medicare billing, Texas enrollment
- 44 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.
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, TXPhysician 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.
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.
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.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 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.
Where is Anthony Mancuso located?
Anthony Mancuso practices at 740 S Limestone Ste D135, Lexington, KY 40536. The listed phone number is (859) 323-5533.
What is Anthony Mancuso's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Anthony Mancuso enrolled in Medicare?
Yes. Anthony Mancuso 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 organization bills Medicare for Anthony Mancuso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Mancuso reassigns Medicare benefits to Nwtx Physician Network, PLLC (Amarillo, TX). The 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 Anthony Mancuso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anthony Mancuso accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Anthony Mancuso 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 Anthony Mancuso affiliated with any hospitals?
According to CMS data, Anthony Mancuso is affiliated with Northwest Texas Hospital.
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.
# Anthony Mancuso II, DO · NPI 1255871687
Orthopaedic Surgery physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since March 4, 2017.
## Identity
- **NPI:** 1255871687 (Entity type: Individual)
- **Enumerated:** March 4, 2017
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** TP812 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 740 S LIMESTONE STE D135, Lexington, KY 40536-2603
- **Phone:** (859) 323-5533 · **Fax:** (859) 257-3634
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Nwtx Physician Network, PLLC (NPI 1790109916, Amarillo, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa, class of 2017
## Record status
- **NPPES last updated:** June 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255871687) · Data from the CMS NPPES public registry.