Active NPI 1487713038 Individual Practitioner Female Practitioner

Dr. Nancy Marie Mantich , MD

Internal Medicine • Glenview, IL

Professional Overview & Biography Verified Profile Summary

Dr. Nancy Mantich, MD is a registered healthcare professional specializing in Internal Medicine in Glenview, IL. Practice services are available at 1435 WAUKEGAN RD under active NPI credentials.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1435 Waukegan Rd

Glenview, IL 600252120

Telephone 8478326500

Fax 8477245379

Associated Practice Facility / Clinic

🏢 Endeavor Health Clinical Operations Facility NPI 1184670549

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Glenview, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.3 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

59 Specialists

Practicing in Glenview, IL (7544 Statewide)

Telehealth Adoption Rate

37.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$283.00	$136.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	88	$155.38	$101.72
99213 Established patient office or other outpatient visit, typically 15 minutes	89	84	$77.81	$69.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	66	65	$32.00	$8.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	57	$274.77	$153.30
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	30	30	$144.00	$61.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$42.00	$37.30
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	16	16	$44.00	$13.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$404.00	$136.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	370	370	$283.00	$136.97
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	306	306	$144.00	$62.96
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	231	225	$32.00	$8.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	156	$158.49	$103.41
99213 Established patient office or other outpatient visit, typically 15 minutes	153	121	$77.45	$70.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	145	118	$269.86	$152.31
G0514 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code	34	34	$143.00	$63.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	21	$195.00	$55.07
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$381.00	$175.84
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$404.00	$139.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$42.00	$38.13
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination	13	13	$19.00	$8.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	372	372	$260.63	$139.86
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	332	332	$144.00	$65.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	192	$133.09	$104.63
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	215	207	$32.00	$8.78
99213 Established patient office or other outpatient visit, typically 15 minutes	201	146	$64.43	$61.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	128	90	$196.68	$156.84
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	26	26	$404.00	$143.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$381.00	$180.51
99496 Transitional care management services for problem of high complexity	14	12	$533.29	$207.30
69210 Removal of impacted ear wax	14	13	$91.00	$37.03
99495 Transitional care management services for problem of at least moderate complexity	13	12	$414.08	$153.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	393	393	$254.00	$143.16
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	306	306	$144.00	$66.71
99213 Established patient office or other outpatient visit, typically 15 minutes	266	177	$79.92	$61.14
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	232	225	$32.00	$8.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	135	$137.31	$107.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	65	$188.61	$159.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	28	$71.00	$32.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$381.00	$180.66
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$404.00	$145.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$216.00	$57.08
99496 Transitional care management services for problem of high complexity	14	14	$451.50	$210.94
69210 Removal of impacted ear wax	12	12	$93.00	$37.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	398	398	$254.00	$124.49
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	276	276	$143.33	$67.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	160	$144.89	$85.59
99213 Established patient office or other outpatient visit, typically 15 minutes	212	156	$95.05	$55.92
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	142	138	$32.00	$9.18
99442 Telephone medical discussion with physician, 11-20 minutes	42	29	$106.50	$56.09
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$381.00	$183.17
99443 Telephone medical discussion with physician, 21-30 minutes	24	20	$193.25	$86.00
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$404.00	$137.34
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$216.00	$57.49
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	15	15	$32.00	$14.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$239.15	$121.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	443	443	$143.00	$66.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	413	413	$254.00	$123.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	213	$123.00	$84.29
99213 Established patient office or other outpatient visit, typically 15 minutes	336	212	$58.00	$54.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	278	272	$32.00	$9.09
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$381.00	$182.50
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$404.00	$135.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$173.00	$119.11
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination	13	13	$30.00	$9.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$216.00	$56.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	432	284	$58.25	$54.42
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	423	423	$143.00	$64.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	401	401	$252.54	$122.51
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	270	254	$32.00	$8.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	165	$123.00	$83.27
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	41	41	$381.00	$180.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$404.00	$133.39
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	19	$216.00	$56.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$171.33	$117.96
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination	11	11	$30.00	$9.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	548	332	$58.58	$54.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	347	347	$251.26	$121.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	323	307	$32.00	$8.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	159	$123.32	$82.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	160	160	$29.69	$27.35
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	38	38	$381.00	$179.24
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	34	34	$404.00	$134.06
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination	27	27	$30.00	$9.04
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$216.00	$56.78
99496 Transitional care management services for problem of high complexity	12	11	$388.00	$169.06

Medical Specialties & State Licenses

CMS Verified: 2020-10-06

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-094526

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. John Revis , MD

Internal Medicine

NPI 1174682637

Doctor of Medicine (M.D.)

Dr. Benjamin Kyi , DO

Family Medicine

NPI 1275094898

Doctor of Osteopathic Medicine (D.O.)

Dr. Jason Canel , MD

Pediatrics

NPI 1295800902

Doctor of Medicine (M.D.)

Dr. Kavitha Srinivasan , MD

Internal Medicine

NPI 1336208826

Doctor of Medicine (M.D.)

Dr. Thea Yosowitz , MD

Pediatrics

NPI 1376510453

Doctor of Medicine (M.D.)

Dr. Mary Shapiro , MD

Internal Medicine

NPI 1457528135

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2020

Internal Medicine (License #036-094526 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1435 WAUKEGAN RD, GLENVIEW, IL 600252120 (Tel: 8478326500)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 602011718 (Tel: 8475701206)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as NANCY MANTICH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine

🟢

Initial NPI Registration & Enumeration December 08, 2006

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: 1487713038

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 08, 2006

Last Update: October 06, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2650 Ridge Ave, Evanston Hospital

Evanston, IL 602011718

Phone: 8475701206

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.