DR. NATHALIE MANTILLA FARFAN M.D
NPI 1972828671
Colon & Rectal Surgery in Augusta, GA

Q: What is Nathalie Mantilla Farfan's NPI number?

The NPI number for Nathalie Mantilla Farfan is 1972828671. It was assigned to this individual provider in the NPPES registry on April 6, 2010. The provider is also known as Nathalie Mantilla.

Q: What is Nathalie Mantilla Farfan's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Active since April 06, 2010PECOS EnrolledAccepts Medicare Assignment

84.57/100

CMS Quality Rating

1348 WALTON WAY STE 6500, AUGUSTA, GA 30901(706) 722-2118 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2024, Apr 27, 2021, Jun 26, 2020 and 1 more (4 updates tracked since 2018).

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About Dr. Nathalie Mantilla Farfan M.d NPPES

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

DR. NATHALIE MANTILLA FARFAN M.D (NPI 1972828671) is an individual colon & rectal surgery provider in Augusta, Georgia, licensed in Georgia (101399) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1972828671

Entity TypeIndividualFemale

Primary Taxonomy208C00000X

Provider Legal NameDR. NATHALIE MANTILLA FARFANCredential: M.D

Location Address1348 WALTON WAY STE 6500Augusta, GA 30901-5111

Mailing Address1130 S Michigan Ave Apt 3104Chicago, IL 60605-2322 · (312) 927-5299

Phone(706) 722-2118

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateApril 6, 2010

Last NPPES UpdateNovember 6, 20244 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1972828671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

Licenses✔ Licensed in GA · 101399✔ Licensed in IL · 036140788

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 036140788 (IL)

1348 WALTON WAY STE 6500, Augusta, GA 30901

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Other Names 1

Professional Name (2)Nathalie Mantilla

Secondary Practice Location 1

Location 11900 W Polk St # 406Chicago, IL 60612-3723 · Phone (312) 864-3197

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Nathalie Mantilla Farfan 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 ID4082924238

PECOS Enrollment IDI20250123001985

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.

Hospital Affiliations CMS Care Compare

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

84.57/100

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

Scored as part of a group practice

Quality

60.25

Promoting Interoperability

100

Improvement Activities

Cost

Other Providers at the Same Location NPPES 5

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

DR. JOHN DUDLEY CHEAPE M.D.

Colon & Rectal Surgery