IVIENSAN FERNANDEZ MANALO M.D.
NPI 1730542879
Dermatology in Atlanta, GA

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
875 JOHNSON FY RD NE STE 300, ATLANTA, GA 30342(404) 257-9933 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Iviensan Fernandez Manalo M.d. NPPES

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

IVIENSAN FERNANDEZ MANALO M.D. (NPI 1730542879) is an individual dermatology provider in Atlanta, Georgia, licensed in Georgia (85708) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2016).

NPPES Registry Identity

NPI1730542879
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameIVIENSAN FERNANDEZ MANALOCredential: M.D.
Location Address875 JOHNSON FY RD NE STE 300Atlanta, GA 30342-1418
Mailing Address875 Johnson Fy Rd Ne Ste 300Atlanta, GA 30342-1418 · (404) 257-9933
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateJuly 20, 2020
NPPES CertifiedJuly 20, 2020
NPI 1730542879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in GA · 85708
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
875 JOHNSON FY RD NE STE 300, Atlanta, GA 30342

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Iviensan Fernandez Manalo M.d. 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 ID4880971522
PECOS Enrollment IDI20220715001725
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 29

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
465 services353 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.
207 services188 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
170 services145 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
161 services114 patients
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121
This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.
150 services134 patients
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313
This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.
113 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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

Other Providers at the Same Location NPPES 7

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

Physician Assistant (Medical)
875 JOHNSON FY RD NE STE 300
ATLANTA, GA 30342
Physician Assistant
875 JOHNSON FY RD NE STE 300
ATLANTA, GA 30342
Plastic Surgery
875 JOHNSON FY RD NE STE 300
ATLANTA, GA 30342
Physician Assistant
875 JOHNSON FY RD NE STE 300
ATLANTA, GA 30342
Physician Assistant
875 JOHNSON FY RD NE STE 300
ATLANTA, GA 30342
Dermatology (MOHS-Micrographic Surgery)
875 JOHNSON FY RD NE STE 300
ATLANTA, GA 30342
Dermatology
875 JOHNSON FY RD NE STE 300
ATLANTA, GA 30342

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 Iviensan Manalo's NPI number?

The NPI number for Iviensan Manalo is 1730542879. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Iviensan Manalo located?

Iviensan Manalo practices at 875 Johnson Fy Rd NE Ste 300, Atlanta, GA 30342. The listed phone number is (404) 257-9933.

What is Iviensan Manalo's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Iviensan Manalo enrolled in Medicare?

Yes. Iviensan Manalo 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 Iviensan Manalo accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Iviensan Manalo 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.

When was this NPI record last updated?

The NPPES record for Iviensan Manalo was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.