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JOSEPH C LA MANCUSA MD
NPI 1487654497
Psychiatry & Neurology - Neurology in Findlay, OH

Active since August 01, 2005PECOS EnrolledAccepts Medicare Assignment
78.17/100
CMS Quality Rating
207 W WALLACE ST, FINDLAY, OH 45840(419) 425-5481(419) 425-8468 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joseph C La Mancusa Md NPPES

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

JOSEPH C LA MANCUSA MD (NPI 1487654497) is an individual neurology provider in Findlay, Ohio, licensed in Ohio (35057437) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Tiffin Hospital, and is a graduate of University Of Nevada School Of Medicine (1986).

NPPES Registry Identity

NPI1487654497
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJOSEPH C LA MANCUSACredential: MD
Location Address207 W WALLACE STFindlay, OH 45840-1212
Mailing Address207 W Wallace StFindlay, OH 45840-1212 · (419) 425-5481 · Fax (419) 425-8468
Phone(419) 425-5481
Fax(419) 425-8468
Sole ProprietorYes
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1986
Enumeration DateAugust 1, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1487654497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in OH · 35057437
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.
207 W WALLACE ST, Findlay, OH 45840
Open in Google Maps ↗

Other Identifiers 1

Medicaid2309700OH

Accepted Insurance

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

Joseph C La Mancusa 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 ID3375739923
PECOS Enrollment IDI20101123000020
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 7

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 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.
1,127 services697 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
677 services159 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
139 services138 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
110 services93 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
80 services60 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
36 services36 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360089
Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County
Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Fostoria Community Hospital

Critical Access Hospitals · Fostoria, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361318
Location501 Van Buren StreetFostoria, OH 44830 · Seneca County

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361322
Location139 Garau StreetBluffton, OH 45817 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45840 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality59.94
Improvement Activities40
Cost80.63

Reported Quality Measures

Advance Care Plan
2%1,179 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
92%3,429 patients4/55-star benchmark: 100%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
2%47 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,190 patients
Patients totalRate: 0% · 1,190 patients
0%1,190 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

JOSEPH C LA MANCUSA MD
Psychiatry & Neurology (Neurology)
207 W WALLACE ST
FINDLAY, OH 45840
Hancock County (419) 425-5481

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 Joseph La Mancusa's NPI number?

The NPI number for Joseph La Mancusa is 1487654497. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is Joseph La Mancusa located?

Joseph La Mancusa practices at 207 W Wallace St, Findlay, OH 45840. The listed phone number is (419) 425-5481.

What is Joseph La Mancusa's specialty?

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

Is Joseph La Mancusa enrolled in Medicare?

Yes. Joseph La Mancusa 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 Joseph La Mancusa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Joseph La Mancusa 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 Joseph La Mancusa affiliated with any hospitals?

According to CMS data, Joseph La Mancusa is affiliated with Mercy Health - Tiffin Hospital, Blanchard Valley Hospital, Fostoria Community Hospital and Bluffton Hospital.

When was this NPI record last updated?

The NPPES record for Joseph La Mancusa was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.