1. Home
  2. Directory
  3. Pennsylvania
  4. Wexford
  5. Family Medicine
  6. NPI Profile

DR. DOMENIC MICHAEL MANTELLA M.D.
NPI 1326273392
Family Medicine in Wexford, PA

Active since May 20, 2009PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
1500 VILLAGE RUN RD, SUITE 308, WEXFORD, PA 15090(724) 934-1900 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Domenic Michael Mantella M.d. NPPES

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

DR. DOMENIC MICHAEL MANTELLA M.D. (NPI 1326273392) is an individual family medicine provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD439686) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and is a graduate of New York Medical College (2007).

NPPES Registry Identity

NPI1326273392
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOMENIC MICHAEL MANTELLACredential: M.D.
Location Address1500 VILLAGE RUN RD, SUITE 308Wexford, PA 15090-6316
Mailing Address1500 Village Run Rd, Suite 308Wexford, PA 15090-6316 · (724) 934-1900
Phone(724) 934-1900
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2007
Enumeration DateMay 20, 2009
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1326273392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD439686
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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License MD439686 (PA)
1500 VILLAGE RUN RD, Wexford, PA 15090
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Domenic Michael Mantella M.d. 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 ID4880851591
PECOS Enrollment IDI20120208000620
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Domenic Mantella reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Martin G Gregorio MD And Associates PC
Same address
Family Medicine
1500 VILLAGE RUN RD, SUITE 308
Wexford, PA 15090
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1548706799 (724) 934-1900
Upmc Community Medicine, Inc
0.5 mi
Orthopaedic Surgery
12680 PERRY HIGHWAY, SUITE 201
Wexford, PA 15090
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1245964089 (724) 720-4600
Hutsler Integrative Health PC
4.4 mi
Family Medicine
6998 CRIDER RD
Mars, PA 16046
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
NPI 1194577460 (412) 865-7839

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 8

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.
101 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
56 services56 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
53 services53 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
49 services49 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.
22 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims 2

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
4 suppliers11 claims19 services$6.26 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers16 claims68 services$1.49 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 4

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

SUSAN T FEDEROFF MD
Family Medicine
1500 VILLAGE RUN RD, SUITE 308
WEXFORD, PA 15090
Allegheny County (724) 934-1900
ACCUQUEST HEARING CENTER, LLC
Clinic/Center (Hearing and Speech)
1500 VILLAGE RUN RD, SUITE 315
WEXFORD, PA 15090
Allegheny County (724) 719-2304
MARTIN G GREGORIO MD AND ASSOCIATES PC
Family Medicine
1500 VILLAGE RUN RD, SUITE 308
WEXFORD, PA 15090
Allegheny County (724) 934-1900
RACHEL PAWLIK PA-C
Family Medicine
1500 VILLAGE RUN RD
WEXFORD, PA 15090
Allegheny County (724) 934-1900

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 Domenic Mantella's NPI number?

The NPI number for Domenic Mantella is 1326273392. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Domenic Mantella located?

Domenic Mantella practices at 1500 Village Run Rd Suite 308, Wexford, PA 15090. The listed phone number is (724) 934-1900.

What is Domenic Mantella's specialty?

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

Is Domenic Mantella enrolled in Medicare?

Yes. Domenic Mantella 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 organizations bill Medicare for Domenic Mantella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Domenic Mantella reassigns Medicare benefits to 3 organizations: Martin G Gregorio MD And Associates PC (Wexford, PA), Upmc Community Medicine, Inc (Wexford, PA) and Hutsler Integrative Health PC (Mars, PA). Each 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 Domenic Mantella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Domenic Mantella accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Domenic Mantella 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 Domenic Mantella affiliated with any hospitals?

According to CMS data, Domenic Mantella is affiliated with Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Domenic Mantella was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.