EMMANUEL THIERRY MENTOR
NPI 1770909392
Family Medicine in Chesterton, IN

Q: What is Emmanuel Thierry Mentor's NPI number?

The NPI number for Emmanuel Thierry Mentor is 1770909392. It was assigned to this individual provider in the NPPES registry on March 6, 2014.

Q: What is Emmanuel Thierry Mentor's specialty?

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

Active since March 06, 2014PECOS EnrolledAccepts Medicare Assignment

81.05/100

CMS Quality Rating

650 DICKINSON RD, CHESTERTON, IN 46304(219) 926-7755(219) 929-1885 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Emmanuel Thierry Mentor NPPES

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

EMMANUEL THIERRY MENTOR (NPI 1770909392) is an individual family medicine provider in Chesterton, Indiana, licensed in Indiana (01073933A) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770909392

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameEMMANUEL THIERRY MENTOR

Location Address650 DICKINSON RDChesterton, IN 46304-3387

Mailing Address809 Laporte AveValparaiso, IN 46383-5801 · (219) 263-4977

Phone(219) 926-7755

Fax(219) 929-1885

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMarch 6, 2014

Last NPPES UpdateNovember 14, 2018

✔ NPI 1770909392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01073933A

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

650 DICKINSON RD, Chesterton, IN 46304

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Secondary Practice Locations 2

Location 13630 Willowcreek RdPortage, IN 46368-5075 · Phone (219) 364-3900 · Fax (219) 364-3959

Location 2809 LaPorte AveValparaiso, IN 46383-5801 · Phone (219) 263-4977

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Emmanuel Thierry Mentor 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 ID3274756697

PECOS Enrollment IDI20140603000840

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 2

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

1,480 services468 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

13 services11 patients

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150034

Location1500 S Lake Park AveHobart, IN 46342 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46304 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

81.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.21

Promoting Interoperability

100

Improvement Activities

Cost

28.3

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers14 claims23 services$6.02 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

2 suppliers15 claims475 services$0.92 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DR. GARY ALLEN BABCOKE MD

Family Medicine

650 DICKINSON RD, SUITE A
CHESTERTON, IN 46304

Porter County (219) 926-2133

DR. JOEL IRVIN HULL MD

Family Medicine

650 DICKINSON RD, SUITE A
CHESTERTON, IN 46304

Porter County (219) 926-2133

PORTER HEALTH SERVICES

Family Medicine

650 DICKINSON RD, SUITE A
CHESTERTON, IN 46304

Porter County (219) 926-2133

DR. SARAH KNAPP DNP

Nurse Practitioner (Family)