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Active NPI 1235745605 Individual Practitioner Male Practitioner

Matthew Esteban Mantilla

Physician Assistant • Cooperstown, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Matthew Mantilla is a certified Physician Assistant practicing in Cooperstown, NY. With approximately 6 years of clinical experience since completing medical education in 2020, Matthew Mantilla delivers high-quality medical care to the local community at 1 ATWELL RD.

Matthew Mantilla is affiliated with Novant Health Medical Group Coastal Region Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Atwell Rd

Cooperstown, NY 133261301

Telephone 6075473456
Associated Practice Facility / Clinic
🏢 Mary Imogene Bassett Hospital Facility NPI 1083664221

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cooperstown, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -9.3 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
84 Specialists

Practicing in Cooperstown, NY (15701 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
71.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mantilla (6 Years) 6 Yrs
Cooperstown Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
192 124 $289.61 $102.94
99213 Established patient office or other outpatient visit, typically 15 minutes
112 91 $189.19 $73.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
32 32 $484.00 $129.26
99442 Telephone medical discussion with physician, 11-20 minutes
21 20 $171.95 $72.83
94729 Test to examine how well the lungs exchange gases
20 20 $132.00 $44.43
94060 Test to measure expiratory airflow and volume changes before and after medication administration
18 18 $278.00 $30.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $341.00 $89.38
94726 Determination of lung volumes using plethysmography
17 17 $135.00 $43.96

Medical Specialties & State Licenses

CMS Verified: 2024-08-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-13280

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Novant Health Medical Group Coastal Region Llc

1960 S 16th St, Wilmington, NC 284016676

Phone: 9106626000

Novant Health Medical Group Coastal Region Llc

231 S 17th St, Wilmington, NE 284017407

Phone: 9106675105

Novant Health Medical Group Coastal Region Llc

1090 Medical Ctr Dr, Wilmington, NC 284017353

Phone: 9106628550

Novant Health Medical Group Coastal Region Llc

800 Jefferson St, Whiteville, NC 284723702

Phone: 9106629500

Novant Health Medical Group Coastal Region Llc

2131 S 17th St, Wilmington, NC 284017407

Phone: 9106675105

Secondary Practice Locations

1090 Medical Center Dr

Wilmington, NC 284017353

Phone: 9106628550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kyle Nick , PA-C

Physician Assistant

NPI 1003467747

Physician Assistant (Certified)

Haylee Smith

Physician Assistant

NPI 1003747882
Kara Young , PA-C

Physician Assistant

NPI 1013425172

Physician Assistant (Certified)

Hannah Park

Physician Assistant

NPI 1013891738
Rupa Pudasaini

Student in an Organized Health Care Education/Training Program

NPI 1043094311
Dr. Cyrus De Souza , MD

Student in an Organized Health Care Education/Training Program

NPI 1043881147

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2024

Physician Assistant

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2023

Physician Assistant (License #0010-13280 in NC)

NPI Profile Active September 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2020

Registered at 1 ATWELL RD, COOPERSTOWN, NY 133261301 (Tel: 6075473456)

📍
Updated Business Mailing Address September 21, 2020

Registered at 66 BRUNLAR CT APT G27, COOPERSTOWN, NY 133261479 (Tel: 5706903025)

👤
Provider Name / Credentials Updated September 21, 2020

Recorded as MATTHEW MANTILLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 21, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235745605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2020
Last Update: August 08, 2024
Sole Proprietor: No

Mailing Address

66 Brunlar Ct Apt G27

Cooperstown, NY 133261479

Phone: 5706903025

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.