MANUEL A MENDOZA MD
NPI 1740269158
Emergency Medicine in New London, WI

Q: What is Manuel Mendoza's NPI number?

The NPI number for Manuel Mendoza is 1740269158. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Q: What is Manuel Mendoza's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Manuel Mendoza was last updated on November 6, 2020. 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.

Active since January 13, 2006PECOS Enrolled

1405 MILL ST, NEW LONDON, WI 54961(920) 531-2000(920) 531-2030 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Manuel A Mendoza Md NPPES

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

MANUEL A MENDOZA MD (NPI 1740269158) is an individual emergency medicine provider in New London, Wisconsin, licensed in Wisconsin (38187) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Roy Lester Schneider Hospital,the, and maintains a secondary practice location in Baraboo.

NPPES Registry Identity

NPI1740269158

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMANUEL A MENDOZACredential: MD

Location Address1405 MILL STNew London, WI 54961-2155

Mailing Address707 14th StBaraboo, WI 53913-1539 · (608) 356-1400

Phone(920) 531-2000

Fax(920) 531-2030

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1994

Enumeration DateJanuary 13, 2006

Last NPPES UpdateNovember 6, 2020

NPPES CertifiedNovember 6, 2020

✔ NPI 1740269158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WI · 38187

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 387187-020 (WI)

1405 MILL ST, New London, WI 54961

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Secondary Practice Location 1

Location 1707 14th StBaraboo, WI 53913-1539 · Phone (608) 356-1400

Other Identifiers 4

Other70WI · Deancare Prov #

Other930117017WI · Railroad Medicare Prov #

Medicaid32248400WI

Other1009390WI · Phys Plus Prov #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manuel A Mendoza Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860406865

PECOS Enrollment IDI20240223000292

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.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Roy Lester Schneider Hospital,the

Acute Care Hospitals · St Thomas, VI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number480001

Location9048 Sugar EstateSt Thomas, VI 00801 · Saint Thomas Island County

Emergency services

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520107

Location2300 Western AveManitowoc, WI 54221 · Manitowoc County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54961 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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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.

SIERRA RENEE KACZOCHA

Physical Therapist