Active NPI 1326005521 Individual Practitioner Male Practitioner

Dr. Marc Steven Mandel , MD

Surgery - Plastic and Reconstructive Surgery • Summit, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marc Mandel, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Summit, NJ. With approximately 41 years of clinical experience since graduating from Albert Einstein College Of Medicine Of Yeshiva University in 1985, Dr. Mandel delivers high-quality medical care to the local community at 11 OVERLOOK RD.

Dr. Mandel is affiliated with Atlantic Health Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11 Overlook Rd
Suite 160

Summit, NJ 079013577

Telephone 9085980966

Fax 9085980298

Associated Practice Facility / Clinic

🏢 Springfield Family Practice, Llc Facility NPI 1861493215

Medicare Profile & Education

Medical School

Albert Einstein College Of Medicine Of Yeshiva University

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Summit, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +1.0 yrs vs City Avg

City Avg: 40.0 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Summit, NJ (87 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mandel (41 Years) 41 Yrs

Summit Specialty Average (40.0 Years) 40.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	167	137	$280.00	$99.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$401.00	$118.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$608.00	$181.94
49505 Repair of groin hernia (5 years or older)	27	27	$1958.00	$546.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$766.00	$239.36
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	21	20	$4104.29	$783.58
19301 Partial removal of breast	19	17	$2457.00	$460.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$405.00	$139.97
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	16	13	$786.63	$216.57
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$1545.00	$148.20
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$4211.00	$344.81
47562 Removal of gallbladder using an endoscope	11	11	$2467.00	$714.33
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1645.00	$262.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	128	$280.00	$101.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$401.00	$124.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$608.00	$182.43
49505 Repair of groin hernia (5 years or older)	31	31	$1958.00	$608.60
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	19	19	$1545.00	$147.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$542.00	$200.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$735.00	$189.52
76937 Ultrasonic guidance for blood vessel access	13	13	$52.00	$15.34
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$68.00	$19.41
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$4211.00	$357.97
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	12	12	$4106.00	$719.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$405.00	$143.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	165	139	$280.00	$100.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$401.00	$126.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$608.00	$185.20
49505 Repair of groin hernia (5 years or older)	43	43	$1958.00	$586.68
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	20	$1545.00	$154.41
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	19	17	$4102.00	$736.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$766.00	$248.50
49568 Placement of mesh to repair incisional or abdominal hernia	17	16	$988.00	$292.50
49560 Repair of incisional or abdominal hernia	15	14	$2761.00	$746.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$405.00	$144.59
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$4211.00	$363.25
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$68.00	$20.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$542.00	$203.44
47562 Removal of gallbladder using an endoscope	13	13	$2467.00	$746.97
19301 Partial removal of breast	13	11	$2457.00	$486.15
76937 Ultrasonic guidance for blood vessel access	12	12	$52.00	$14.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	153	129	$280.00	$103.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$608.00	$188.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$401.00	$126.38
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	30	29	$1545.00	$148.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$405.00	$143.45
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$4211.00	$357.64
49505 Repair of groin hernia (5 years or older)	19	19	$1958.00	$597.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$542.00	$196.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$766.00	$251.30
76937 Ultrasonic guidance for blood vessel access	18	18	$52.00	$15.19
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	17	16	$2369.00	$696.43
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$68.00	$20.53
49568 Placement of mesh to repair incisional or abdominal hernia	16	15	$988.00	$297.03
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	15	15	$4102.00	$751.26
19301 Partial removal of breast	15	14	$2457.00	$503.75
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$1645.00	$251.70
49560 Repair of incisional or abdominal hernia	11	11	$2761.00	$837.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	97	$252.76	$81.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	120	$540.45	$181.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$342.60	$118.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	13	$128.95	$43.02
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$621.50	$230.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$449.75	$162.68
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	16	16	$1114.88	$141.19
49505 Repair of groin hernia (5 years or older)	14	14	$1919.86	$570.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$649.25	$222.00
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2271.67	$361.29
49560 Repair of incisional or abdominal hernia	12	12	$2459.75	$658.00
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$58.67	$20.34
76937 Ultrasonic guidance for blood vessel access	11	11	$45.09	$15.75
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$878.64	$275.27
19366 Plastic surgery to reconstruct breast	11	11	$4550.55	$1567.07

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	81	73	$241.00	$118.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	80	80	$459.00	$223.39
99213 Established patient office or other outpatient visit, typically 15 minutes	67	56	$164.00	$82.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$365.00	$180.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	30	$323.00	$160.02
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	29	29	$911.00	$163.71
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$42.00	$20.05
49505 Repair of groin hernia (5 years or older)	19	19	$1234.74	$554.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	12	$86.00	$42.19
76937 Ultrasonic guidance for blood vessel access	18	18	$32.00	$15.52
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$2552.00	$360.94
36590 Removal of peripheral venous catheter for infusion	16	16	$500.00	$183.96
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1062.92	$270.07
19301 Partial removal of breast	12	12	$1582.75	$494.31
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$595.00	$269.14
19366 Plastic surgery to reconstruct breast	11	11	$3178.00	$1429.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	183	144	$127.13	$77.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$161.85	$115.01
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	51	49	$994.76	$172.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	14	$76.14	$40.89
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	28	27	$387.21	$18.73
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	26	26	$1600.00	$331.74
76937 Ultrasonic guidance for blood vessel access	25	25	$156.64	$15.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$184.13	$115.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$180.90	$142.77
49568 Placement of mesh to repair incisional or abdominal hernia	18	18	$1399.44	$281.94
49560 Repair of incisional or abdominal hernia	13	13	$2793.23	$603.96
49505 Repair of groin hernia (5 years or older)	13	13	$3000.00	$577.54
47562 Removal of gallbladder using an endoscope	13	13	$3781.23	$701.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$228.38	$154.91
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1570.36	$255.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	161	133	$122.53	$80.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$158.47	$118.94
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	75	72	$1000.00	$184.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	24	$47.71	$42.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	50	$175.00	$147.31
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	33	33	$1550.90	$346.69
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	33	33	$107.86	$20.47
76937 Ultrasonic guidance for blood vessel access	27	27	$36.10	$15.50
49505 Repair of groin hernia (5 years or older)	23	23	$2790.11	$589.46
47562 Removal of gallbladder using an endoscope	19	19	$4200.00	$674.72
49568 Placement of mesh to repair incisional or abdominal hernia	18	18	$364.40	$292.84
36590 Removal of peripheral venous catheter for infusion	17	17	$1700.00	$106.01
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	16	12	$147.19	$78.86
49560 Repair of incisional or abdominal hernia	15	15	$1552.03	$706.16
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1700.00	$325.90

Medical Specialties & State Licenses

CMS Verified: 2025-07-22

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License NJ 25MA04895600

A surgeon who specializes in plastic and reconstructive surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License NJ MA48956

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

5549108 (NJ)

Hospital & Practice Group Affiliations

Atlantic Health Partners

11 Overlook Rd, Summit, NJ 079013577

Phone: 9085980966

Practice Associates & Co-Workers

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

19 Associated Practitioners

Katherine Paseka , MED

Counselor - Professional

NPI 1003349374

Master of Education

Gale Reed

Dietitian, Registered

NPI 1053932509

Dr. Jennifer Sayanlar , DO

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1073779666

Doctor of Osteopathic Medicine (D.O.)

Kay Anderson , RNC, CDE

Registered Nurse - Diabetes Educator

NPI 1083907075

RNC, Certified Diabetes Educator

Dr. Samantha Pozner , MD

Family Medicine

NPI 1225039670

Doctor of Medicine (M.D.)

Dr. Joanne Davine-Reicher , MD

Family Medicine

NPI 1285996439

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 25, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 25, 2011

Registered at 11 OVERLOOK RD, SUITE 160, SUMMIT, NJ 079013577 (Tel: 9085980966)

📍

Updated Business Mailing Address April 25, 2011

Registered at 11 OVERLOOK RD, SUITE 160, SUMMIT, NJ 079013577 (Tel: 9085980966)

👤

Provider Name / Credentials Updated April 25, 2011

Recorded as MARC MANDEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2011

Specialist (License #MA48956 in NJ)

🟢

Initial NPI Registration & Enumeration May 01, 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: 1326005521

Entity Type:

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

Enumeration Date: May 01, 2006

Last Update: July 22, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11 Overlook Rd, Suite 160

Summit, NJ 079013577

Phone: 9085980966

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.