DR. JOHN EDWARD MCMANIGLE JR. MD, DPHIL
NPI 1518320720
Anesthesiology - Pediatric Anesthesiology in Durham, NC

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. John Edward Mcmanigle Jr. Md, Dphil NPPES

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

DR. JOHN EDWARD MCMANIGLE JR. MD, DPHIL (NPI 1518320720) is an individual pediatric anesthesiology provider in Durham, North Carolina, licensed in North Carolina (2018-02190) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Duke University School Of Medicine (2016).

NPPES Registry Identity

NPI1518320720
Entity TypeIndividualMale
Primary Taxonomy207LP3000X
Provider Legal NameDR. JOHN EDWARD MCMANIGLE JR.Credential: MD, DPHIL
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing AddressDumc 3094Durham, NC 27710 · (919) 970-8916
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateMay 26, 2021
NPPES CertifiedMay 26, 2021
NPI 1518320720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
License Licensed in NC · 2018-02190
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
2301 ERWIN RD, Durham, NC 27705

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

Dr. John Edward Mcmanigle Jr. Md, Dphil 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 ID3173816774
PECOS Enrollment IDI20210528001241
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.

Anesthesia for retinal surgery 00145
Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Psychiatry)
2301 ERWIN RD
DURHAM, NC 27705
Anesthesiology
2301 ERWIN RD
DURHAM, NC 27705
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27705
Nurse Practitioner (Family)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Neurology)
2301 ERWIN RD
DURHAM, NC 27705
Surgery (Vascular Surgery)
2301 ERWIN RD
DURHAM, NC 27705
Emergency Medicine
2301 ERWIN RD
DURHAM, NC 27705

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 Mcmanigle's NPI number?

The NPI number for John Mcmanigle is 1518320720. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is John Mcmanigle located?

John Mcmanigle practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8111.

What is John Mcmanigle's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is John Mcmanigle enrolled in Medicare?

Yes. John Mcmanigle 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 Mcmanigle accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list John Mcmanigle 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 Mcmanigle affiliated with any hospitals?

According to CMS data, John Mcmanigle is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for John Mcmanigle was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.