ALEX MAMMEN MD
NPI 1508055898
Ophthalmology in Pittsburgh, PA

Active since October 23, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
203 LOTHROP ST, EEI 7TH FLOOR, PITTSBURGH, PA 15213(412) 647-2200(412) 647-9607 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alex Mammen Md NPPES

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

ALEX MAMMEN MD (NPI 1508055898) is an individual ophthalmology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD442263) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Medical College Of Georgia School Of Medicine (2007).

NPPES Registry Identity

NPI1508055898
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameALEX MAMMENCredential: MD
Location Address203 LOTHROP ST, EEI 7TH FLOORPittsburgh, PA 15213-2548
Mailing Address200 Lothrop St, Forbes Tower Room 9055Pittsburgh, PA 15213-2536 · (412) 647-3087 · Fax (412) 647-4486
Fax(412) 647-9607
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2007
Enumeration DateOctober 23, 2007
Last NPPES UpdateSeptember 2, 2011
NPI 1508055898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD442263
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
203 LOTHROP ST, Pittsburgh, PA 15213

Other Identifiers 2

Medicaid102604990PA
Medicare PIN220210PA

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

Alex Mammen 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 ID1355519687
PECOS Enrollment IDI20110712000606
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 15

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.
260 services136 patients
Bacterial culture, any other source except urine, blood or stool, aerobic 87070
A bacterial culture is a test that helps identify harmful bacteria in your body. In this case, a sample from any part other than urine, blood or stool is collected. The sample is placed in a special environment to promote bacteria growth. It helps in diagnosing infections and determining the best treatment.
48 services41 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
46 services34 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.
41 services38 patients
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution 87186
This process checks how well certain drugs, like antibiotics, can fight against infections. It involves mixing the drug with a microbe (like bacteria or a virus) in a lab. By observing how the microbe reacts, it helps determine the best drug to treat your infection.
36 services11 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
30 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Speech-Language Pathologist
203 LOTHROP ST
PITTSBURGH, PA 15213
Otolaryngology
203 LOTHROP ST
PITTSBURGH, PA 15213
Speech-Language Pathologist
203 LOTHROP ST, 500
PITTSBURGH, PA 15213
Physician Assistant (Medical)
203 LOTHROP ST
PITTSBURGH, PA 15213
Speech-Language Pathologist
203 LOTHROP ST
PITTSBURGH, PA 15213
Ophthalmology
203 LOTHROP ST, EEINS, 6TH, 7TH AND 8TH FLOORS
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
203 LOTHROP ST, SUITE 300
PITTSBURGH, PA 15213
Specialist
203 LOTHROP ST, 500 EEINS
PITTSBURGH, PA 15213

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 Alex Mammen's NPI number?

The NPI number for Alex Mammen is 1508055898. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Where is Alex Mammen located?

Alex Mammen practices at 203 Lothrop St Eei 7th Floor, Pittsburgh, PA 15213. The listed phone number is (412) 647-2200.

What is Alex Mammen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Alex Mammen enrolled in Medicare?

Yes. Alex Mammen 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.

Is Alex Mammen affiliated with any hospitals?

According to CMS data, Alex Mammen is affiliated with Upmc Mercy and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Alex Mammen was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.