DR. JAMES K MANTONE MD
NPI 1326044041
Orthopaedic Surgery in Council Bluffs, IA
About Dr. James K Mantone Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES K MANTONE MD (NPI 1326044041) is an individual orthopaedic surgery provider in Council Bluffs, Iowa, licensed in Iowa (MD-48023) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and maintains a secondary practice location in Omaha.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. James K Mantone 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.
Areas of Expertise CMS Part B claims 20
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera St Lukes
Acute Care Hospitals · Aberdeen, SDMarshall County Healthcare Center - Cah
Critical Access Hospitals · Britton, SDCommunity Memorial Hospital
Critical Access Hospitals · Redfield, SDBowdle Hospital - Cah
Critical Access Hospitals · Bowdle, SDMobridge Regional Hospital - Cah
Critical Access Hospitals · Mobridge, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 51503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COUNCIL BLUFFS, IA 51503
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 James Mantone's NPI number?
The NPI number for James Mantone is 1326044041. It was assigned to this individual provider in the NPPES registry on June 27, 2005.
Where is James Mantone located?
James Mantone practices at 808 E Pierce St, Council Bluffs, IA 51503. The listed phone number is (402) 390-4111.
What is James Mantone's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is James Mantone enrolled in Medicare?
Yes. James Mantone 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 James Mantone accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list James Mantone 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 James Mantone affiliated with any hospitals?
According to CMS data, James Mantone is affiliated with Avera St Lukes, Marshall County Healthcare Center - Cah, Community Memorial Hospital, Bowdle Hospital - Cah and Mobridge Regional Hospital - Cah.
When was this NPI record last updated?
The NPPES record for James Mantone was last updated on December 15, 2023. 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.