ANTHONY MANGIARACINA III D.O.
NPI 1942316658
Emergency Medicine in Exton, PA

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
76.41/100
CMS Quality Rating
278 EAGLEVIEW BLVD, EXTON, PA 19341(610) 561-6400 Get Directions Write a Review

NPPES record last updated: March 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 5, 2018, Sep 20, 2017 (2 updates tracked since 2017).

About Anthony Mangiaracina Iii D.o. NPPES

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

ANTHONY MANGIARACINA III D.O. (NPI 1942316658) is an individual emergency medicine provider in Exton, Pennsylvania, licensed in Pennsylvania (OS004865L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1981).

NPPES Registry Identity

NPI1942316658
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANTHONY MANGIARACINA IIICredential: D.O.
Location Address278 EAGLEVIEW BLVDExton, PA 19341-1157
Mailing Address278 Eagleview BlvdExton, PA 19341-1157 · (610) 561-6400
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1981
Enumeration DateAugust 23, 2006
Last NPPES UpdateMarch 5, 20182 updates tracked since enumeration
NPI 1942316658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · OS004865L
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.

278 EAGLEVIEW BLVD, Exton, PA 19341

Other Identifiers 17

Other1096736PA · Keystone Mercy
Other20045151PA · Amerihealth Mercy
Other930073142PA · Railroad Medicare
Other00946116-03PA · Americhoice Tc
Other049648PA · Highmark Blue Shield
Other1978446PA · First Health
Other810314246PA · Phcs
Other00946116-04PA · Americhoice-fb
Medicaid0009461160006PA
Other00946116-05PA · Americhoice-ff
Other452729PA · Aetna Contract
Other6513766PA · Cigna
Medicaid0009461160004PA
Medicaid0009461160005PA
Other049648PA · Personal Choice
Other0023427000PA · Keystone, Ibc
Other07645PA · Health Partners

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

Anthony Mangiaracina Iii D.o. 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 ID7517143613
PECOS Enrollment IDI20110524000863
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 7

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 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.
41 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services23 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
19 services19 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19341 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

76.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.02
Promoting Interoperability96
Improvement Activities40
Cost43.7

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.

Physician Assistant
278 EAGLEVIEW BLVD
EXTON, PA 19341
Clinic/Center (Urgent Care)
278 EAGLEVIEW BLVD
EXTON, PA 19341
Physician Assistant
278 EAGLEVIEW BLVD
EXTON, PA 19341
Physician Assistant
278 EAGLEVIEW BLVD
EXTON, PA 19341
Physician Assistant
278 EAGLEVIEW BLVD
EXTON, PA 19341
Physician Assistant
278 EAGLEVIEW BLVD
EXTON, PA 19341
Physician Assistant (Medical)
278 EAGLEVIEW BLVD
EXTON, PA 19341
Nurse Practitioner
278 EAGLEVIEW BLVD
EXTON, PA 19341

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 Anthony Mangiaracina's NPI number?

The NPI number for Anthony Mangiaracina is 1942316658. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Anthony Mangiaracina located?

Anthony Mangiaracina practices at 278 Eagleview Blvd, Exton, PA 19341. The listed phone number is (610) 561-6400.

What is Anthony Mangiaracina's specialty?

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

Is Anthony Mangiaracina enrolled in Medicare?

Yes. Anthony Mangiaracina 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.

When was this NPI record last updated?

The NPPES record for Anthony Mangiaracina was last updated on March 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.