DR. JAMES K MANTONE MD
NPI 1326044041
Orthopaedic Surgery in Council Bluffs, IA

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
808 E PIERCE ST, COUNCIL BLUFFS, IA 51503(402) 390-4111(402) 390-4115 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2023, Dec 6, 2020, Nov 25, 2020 and 1 more (4 updates tracked since 2017).

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

NPI1326044041
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES K MANTONECredential: MD
Location Address808 E PIERCE STCouncil Bluffs, IA 51503-4601
Mailing Address8005 Farnam Dr Ste 305Omaha, NE 68114-3426 · (402) 390-4111 · Fax (402) 390-4115
Fax(402) 390-4115
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1993
Enumeration DateJune 27, 2005
Last NPPES UpdateDecember 15, 20234 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
NPI 1326044041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in IA · MD-48023 Licensed in NE · 33093 Licensed in SD · 5144
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.
808 E PIERCE ST, Council Bluffs, IA 51503

Secondary Practice Location 1

Location 18005 Farnam Dr Ste 305Omaha, NE 68114-3426 · Phone (402) 390-4111 · Fax (402) 390-4115

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.

PECOS PAC ID446263305
PECOS Enrollment IDI20100127000413
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 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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,120 services95 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
187 services68 patients
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.
167 services149 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.
150 services124 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
122 services99 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
66 services55 patients

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, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Marshall County Healthcare Center - Cah

Critical Access Hospitals · Britton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431312
Location413 9th StreetBritton, SD 57430 · Marshall County
Emergency services

Community Memorial Hospital

Critical Access Hospitals · Redfield, SD
OwnershipGovernment - Local
CMS Certification Number431316
Location111 W 10th Ave Post Office Box 420Redfield, SD 57469 · Spink County

Bowdle Hospital - Cah

Critical Access Hospitals · Bowdle, SD
OwnershipGovernment - Local
CMS Certification Number431318
Location8001 W 5th Post Office Box 556Bowdle, SD 57428 · Edmunds County
Emergency services

Mobridge Regional Hospital - Cah

Critical Access Hospitals · Mobridge, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431325
Location1401 10th Ave WestMobridge, SD 57601 · Walworth County
Emergency services

Physician 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.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $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.

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.

Nurse Practitioner (Family)
808 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Nurse Practitioner
808 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Neurological Surgery
808 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Nurse Practitioner
808 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Nurse Practitioner
808 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Obstetrics & Gynecology
808 E PIERCE ST
COUNCIL BLUFFS, IA 51503
Family Medicine
808 E PIERCE ST
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.