DR. EMMANUEL CEMPRON MANTILLA JR. DO
NPI 1477757730
Psychiatry & Neurology - Neurology in Dallas, TX

Q: What is Emmanuel Mantilla's NPI number?

The NPI number for Emmanuel Mantilla is 1477757730. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Q: What is Emmanuel Mantilla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Emmanuel Mantilla was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment

91.96/100

CMS Quality Rating

3410 WORTH ST STE 820, DALLAS, TX 75246(214) 820-7400(214) 820-7300 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2025, Jan 10, 2025, Jun 11, 2019 and 2 more (5 updates tracked since 2019).

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About Dr. Emmanuel Cempron Mantilla Jr. Do NPPES

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

DR. EMMANUEL CEMPRON MANTILLA JR. DO (NPI 1477757730) is an individual neurology provider in Dallas, Texas, licensed in Texas (R5771) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2014).

NPPES Registry Identity

NPI1477757730

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. EMMANUEL CEMPRON MANTILLA JR.Credential: DO

Location Address3410 WORTH ST STE 820Dallas, TX 75246-2003

Mailing Address3410 Worth St Ste 820Dallas, TX 75246-2003

Phone(214) 820-7400

Fax(214) 820-7300

Sole ProprietorNo

Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2014

Enumeration DateJune 12, 2007

Last NPPES UpdateFebruary 4, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1477757730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in TX · R5771

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedOccupational TherapistTaxonomy 225X00000X · License OT6189 (OH)

3410 WORTH ST STE 820, Dallas, TX 75246

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.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. Emmanuel Cempron Mantilla Jr. Do 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 ID2062719875

PECOS Enrollment IDI20190701001801

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

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

43 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Jps Health Network

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450039

Location1500 S Main StFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

91.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.78

Promoting Interoperability

100

Improvement Activities

Cost

56.81

Other Providers at the Same Location NPPES 8

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

DIVYA MELLA M.D

Psychiatry & Neurology (Neurology)