JOHN M MANDROLA MD
NPI 1386676658
Internal Medicine - Clinical Cardiac Electrophysiology in Louisville, KY

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
3900 KRESGE WAY, SUITE 60, LOUISVILLE, KY 40207(502) 893-7710(502) 893-1391 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2020, Aug 22, 2018, Mar 3, 2016 (3 updates tracked since 2016).

About John M Mandrola Md NPPES

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

JOHN M MANDROLA MD (NPI 1386676658) is an individual clinical cardiac electrophysiology provider in Louisville, Kentucky, licensed in Kentucky (32628) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of University Of Connecticut School Of Medicine (1989).

NPPES Registry Identity

NPI1386676658
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameJOHN M MANDROLACredential: MD
Location Address3900 KRESGE WAY, SUITE 60Louisville, KY 40207
Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4924 · Fax (502) 489-5750
Fax(502) 893-1391
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1989
Enumeration DateJuly 7, 2006
Last NPPES UpdateDecember 11, 20203 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
NPI 1386676658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in KY · 32628
Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 32628 (KY)
3900 KRESGE WAY, Louisville, KY 40207

Other Identifiers 3

Medicaid200060360AIN
Medicaid200060360FIN
Medicaid64326283KY

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

John M Mandrola 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 ID4587745617
PECOS Enrollment IDI20100204000618
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 29

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
1,932 services677 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
1,516 services547 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
735 services673 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.
616 services574 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
586 services389 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
427 services134 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Obstetrics & Gynecology)
3900 KRESGE WAY, SUITE 31
LOUISVILLE, KY 40207
Obstetrics & Gynecology
3900 KRESGE WAY, #30
LOUISVILLE, KY 40207
Physical Medicine & Rehabilitation
3900 KRESGE WAY, SUITE 51-A
LOUISVILLE, KY 40207
Hospitalist
3900 KRESGE WAY, SUITE 45
LOUISVILLE, KY 40207
Psychiatry & Neurology (Neurology)
3900 KRESGE WAY, SUITE 56
LOUISVILLE, KY 40207
Internal Medicine
3900 KRESGE WAY, STE. 50
LOUISVILLE, KY 40207
Internal Medicine
3900 KRESGE WAY, STE. 50
LOUISVILLE, KY 40207
Internal Medicine
3900 KRESGE WAY, STE. 50
LOUISVILLE, KY 40207

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 John Mandrola's NPI number?

The NPI number for John Mandrola is 1386676658. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is John Mandrola located?

John Mandrola practices at 3900 Kresge Way Suite 60, Louisville, KY 40207. The listed phone number is (502) 893-7710.

What is John Mandrola's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is John Mandrola enrolled in Medicare?

Yes. John Mandrola 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 John Mandrola accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list John Mandrola 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 John Mandrola affiliated with any hospitals?

According to CMS data, John Mandrola is affiliated with Baptist Health Floyd, Baptist Health Hardin, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for John Mandrola was last updated on December 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.