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MR. SHAUN MANTOOTH PA
NPI 1326419748
Physician Assistant in Lubbock, TX

Active since October 12, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6002 SLIDE RD STE D24, LUBBOCK, TX 79414(806) 761-0450(806) 796-7259 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2022, Mar 22, 2021, Nov 12, 2020 and 2 more (5 updates tracked since 2018).

About Mr. Shaun Mantooth Pa NPPES

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

MR. SHAUN MANTOOTH PA (NPI 1326419748) is an individual physician assistant in Lubbock, Texas, licensed in Texas (PA10211) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1326419748
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SHAUN MANTOOTHCredential: PA
Location Address6002 SLIDE RD STE D24Lubbock, TX 79414-4310
Mailing Address5219 City Bank Pkwy Ste 35Lubbock, TX 79407-3537 · (806) 761-0333 · Fax (806) 782-0097
Phone(806) 761-0450
Fax(806) 796-7259
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 12, 2015
Last NPPES UpdateOctober 2, 20255 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1326419748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA10211
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6002 SLIDE RD STE D24, Lubbock, TX 79414
Open in Google Maps ↗

Secondary Practice Location 1

Location 1602 Indiana AveLubbock, TX 79415-3364 · Phone (806) 775-8200

Other Identifiers 1

Other642529TX · Temporary Lic Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, WellPoint.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

Mr. Shaun Mantooth Pa 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 ID9638471212
PECOS Enrollment IDI20160114000096
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 6

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, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
105 services14 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.
47 services36 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
30 services29 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
27 services25 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
27 services21 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.
18 services16 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79414 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

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 Shaun Mantooth's NPI number?

The NPI number for Shaun Mantooth is 1326419748. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Shaun Mantooth located?

Shaun Mantooth practices at 6002 Slide Rd Ste D24, Lubbock, TX 79414. The listed phone number is (806) 761-0450.

What is Shaun Mantooth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shaun Mantooth enrolled in Medicare?

Yes. Shaun Mantooth 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 Shaun Mantooth accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Shaun Mantooth 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 Shaun Mantooth affiliated with any hospitals?

According to CMS data, Shaun Mantooth is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Shaun Mantooth was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.