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DR. JOHN THOMAS MANIRE D.O.
NPI 1720421027
Family Medicine in Louisville, KY

Active since April 17, 2013Opted out of Medicare · through Aug 2, 2027
1169 EASTERN PKWY STE 2358, LOUISVILLE, KY 40217(502) 890-9979(844) 521-8730 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2023, Mar 7, 2023, Jun 22, 2019 and 2 more (5 updates tracked since 2017).

About Dr. John Thomas Manire D.o. NPPES

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

DR. JOHN THOMAS MANIRE D.O. (NPI 1720421027) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (04003) and active in the NPI registry since April 2013. He has opted out of Medicare through August 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720421027
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN THOMAS MANIRECredential: D.O.
Location Address1169 EASTERN PKWY STE 2358Louisville, KY 40217
Mailing Address1169 Eastern Pkwy Ste 2358Louisville, KY 40217-1415 · (502) 890-9979 · Fax (844) 521-8730
Phone(502) 890-9979
Fax(844) 521-8730
Sole ProprietorYes
Enumeration DateApril 17, 2013
Last NPPES UpdateJuly 13, 20235 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1720421027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 04003✔ Licensed in IN · 02004524A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1169 EASTERN PKWY STE 2358, Louisville, KY 40217
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Other Identifiers 3

Other02004524AIN · Pla In Medical Licensing Agency
Other04003KY · Kbml
Other18708American Osteopathic Association Board Certification In Family Medicine/omt

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Thomas Manire D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 2, 2019 through August 2, 2027.

Opt-Out Effective DateAugust 2, 2019
Opt-Out In Effect ThroughAugust 2, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

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

KENTUCKIANA ADULT MEDICINE SPECIALISTS
Internal Medicine
1169 EASTERN PKWY STE 2358, MEDICAL ARTS BLDING
LOUISVILLE, KY 40217
Jefferson County (502) 459-4555

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 Manire's NPI number?

The NPI number for John Manire is 1720421027. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is John Manire located?

John Manire practices at 1169 Eastern Pkwy Ste 2358, Louisville, KY 40217. The listed phone number is (502) 890-9979.

What is John Manire's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Manire enrolled in Medicare?

No. John Manire has opted out of Medicare through August 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Manire was last updated on July 13, 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.