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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARC JOSEPH MANCINELLI D.O.
NPI 1962643882
Emergency Medicine - Undersea and Hyperbaric Medicine in Erie, PA

Active since March 24, 2009PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
215 HOLLAND ST, ERIE, PA 16507(814) 877-3018(814) 877-7469 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marc Joseph Mancinelli D.o. NPPES

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

MARC JOSEPH MANCINELLI D.O. (NPI 1962643882) is an individual undersea and hyperbaric medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS014383) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Western University Of Health Sciences College Of Dental Med (2005).

NPPES Registry Identity

NPI1962643882
Entity TypeIndividualMale
Primary Taxonomy207PE0005X
Provider Legal NameMARC JOSEPH MANCINELLICredential: D.O.
Location Address215 HOLLAND STErie, PA 16507-1526
Mailing Address215 Holland StErie, PA 16507-1526 · (814) 877-3018 · Fax (814) 877-7469
Phone(814) 877-3018
Fax(814) 877-7469
Sole ProprietorYes
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2005
Enumeration DateMarch 24, 2009
Last NPPES UpdateSeptember 29, 2026
✔ NPI 1962643882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PE0005X
License✔ Licensed in PA · OS014383
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Also ListedEmergency MedicineTaxonomy 207P00000X · License OS014383 (PA)
215 HOLLAND ST, Erie, PA 16507
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc Joseph Mancinelli 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 ID9830225069
PECOS Enrollment IDI20100326000941
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marc Mancinelli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Health Services Inc
0.2 mi
Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group
NPI 1174520654 (814) 877-8140
Great Lakes Physician Practice PC
44 mi
Internal Medicine
15 S MAIN ST
Jamestown, NY 14701
  • Reassigned Medicare billing, New York enrollment
  • 233 clinicians in this Medicare group
NPI 1730599176 (716) 488-1877

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

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.
244 services80 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
134 services45 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services28 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.
40 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

Referred Medical Equipment & Supplies CMS DME claims 11

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers27 claims1,320 services$0.35 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers23 claims373 services$7.08 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers14 claims108 services$9.37 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
3 suppliers24 claims538 services$0.87 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
3 suppliers23 claims549 services$2.76 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
3 suppliers25 claims2,214 services$0.38 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 7

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

MRS. LAKSHMI RAJESWARI VEMULAPALLI M.D
Obstetrics & Gynecology
215 HOLLAND ST, LAKE ERIE WOMENS CENTER
ERIE, PA 16507
Erie County (814) 453-5058
MRS. LYNN MCGRATH CRNP
Nurse Practitioner
215 HOLLAND ST, LAKE ERIE WOMENS CENTER
ERIE, PA 16507
Erie County (814) 453-5058
MR. GREGORY BRUCE BALLENGEE MD
Obstetrics & Gynecology
215 HOLLAND ST
ERIE, PA 16507
Erie County (814) 453-5058
REGIONAL HEALTH SERVICES, INC.
Clinical Medical Laboratory
215 HOLLAND ST
ERIE, PA 16507
Erie County (814) 877-5510
MRS. MARIAN HORNSTEIN RN CNM
Advanced Practice Midwife
215 HOLLAND ST, LAKE ERIE WOMENS CENTER
ERIE, PA 16507
Erie County (814) 453-5058
DR. PETER GASCHE LEVINSON MD
Obstetrics & Gynecology
215 HOLLAND ST
ERIE, PA 16507
Erie County (814) 453-5058
LAKE ERIE WOMENS CENTER
Obstetrics & Gynecology
215 HOLLAND ST
ERIE, PA 16507
Erie County (814) 453-5058

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 Marc Mancinelli's NPI number?

The NPI number for Marc Mancinelli is 1962643882. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Where is Marc Mancinelli located?

Marc Mancinelli practices at 215 Holland St, Erie, PA 16507. The listed phone number is (814) 877-3018.

What is Marc Mancinelli's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

Is Marc Mancinelli enrolled in Medicare?

Yes. Marc Mancinelli 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.

Which organizations bill Medicare for Marc Mancinelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Mancinelli reassigns Medicare benefits to 2 organizations: Regional Health Services Inc (Erie, PA) and Great Lakes Physician Practice PC (Jamestown, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Mancinelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marc Mancinelli affiliated with any hospitals?

According to CMS data, Marc Mancinelli is affiliated with Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Marc Mancinelli was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.