Deactivated NPI 1215020201 Deactivated / Inactive NPI Male Practitioner

Dr. Andrew Jay Mandery , MD

Plastic Surgery • Indianapolis, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Andrew Mandery has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 02, 2006

NPI Deactivation Date March 30, 2022

Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Mandery, MD was a registered Plastic Surgery practicing in Indianapolis, IN. Throughout an active medical career spanning 16 years, Dr. Mandery provided care at the practice location at 8402 HARCOURT RD STE 128 until profile deactivation on 2022-03-30.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

8402 Harcourt Rd Ste 128

Indianapolis, IN 462602094

Telephone 3173384303

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Indianapolis, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.2 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

32 Specialists

Practicing in Indianapolis, IN (84 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.8% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	12	$120.00	$71.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	33	$120.00	$67.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$180.00	$96.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	14	$80.00	$40.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	52	26	$118.27	$65.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	17	$80.00	$41.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$180.00	$88.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	37	$80.00	$40.77
99213 Established patient office or other outpatient visit, typically 15 minutes	54	29	$120.00	$68.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$180.00	$97.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$270.00	$129.98
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$210.00	$95.84
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	19	17	$1780.00	$595.25
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	18	14	$864.00	$213.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$270.00	$154.02

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IN 01045232A

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

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

6 Associated Practitioners

Leslee Sell , NP-C

Nurse Practitioner - Family

NPI 1083064265

Nurse Practitioner (Certified)

Brigitta Strutchen , FNP-C

Nurse Practitioner - Family

NPI 1356766893

Family Nurse Practitioner (Certified)

Dr. Robert Paul , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1396903555

Doctor of Medicine (M.D.)

Dr. Ian Sando , MD

Plastic Surgery

NPI 1447579008

Doctor of Medicine (M.D.)

Lara Tate , PA-C

Physician Assistant - Medical

NPI 1649412560

Physician Assistant (Certified)

Jazmine Loaiza , FNP-BC

Nurse Practitioner - Family

NPI 1881338572

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

9 Historical Events

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NPI Profile Deactivated March 30, 2022

Record deactivated on March 30, 2022

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Updated Practice Location April 11, 2018

Registered at 8402 HARCOURT RD STE 120, INDIANAPOLIS, IN 462602006 (Tel: 3173384303)

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Updated Business Mailing Address April 11, 2018

Registered at 10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 462901024

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NPI Profile Active February 04, 2015

NPI status registered as active in NPPES database

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Updated Practice Location February 04, 2015

Registered at 8402 HARCOURT RD STE 128, INDIANAPOLIS, IN 462602094 (Tel: 3173384303)

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Updated Business Mailing Address February 04, 2015

Registered at 8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 462683129

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Provider Name / Credentials Updated February 04, 2015

Recorded as ANDREW MANDERY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2015

Plastic Surgery (License #01045232A in IN)

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Initial NPI Registration & Enumeration October 02, 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: 1215020201

Entity Type:

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

Enumeration Date: October 02, 2006

Last Update: February 04, 2015

Deactivation Date: March 30, 2022

Update or Correct Profile

Mailing Address

8840 Commerce Park Pl Ste E

Indianapolis, IN 462683129

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.