Active NPI 1811536378 Individual Practitioner Female Practitioner

Misty Manuel

Nurse Practitioner - Primary Care • Troy, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Misty Manuel is a certified Nurse Practitioner - Primary Care practicing in Troy, OH. With approximately 7 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2019, Misty Manuel delivers high-quality medical care to the local community at 998 S DORSET RD STE 301.

Misty Manuel is affiliated with Upper Valley Professional Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

998 S Dorset Rd Ste 301

Troy, OH 453734748

Telephone 9373399865

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Troy, OH

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -2.0 yrs vs City Avg

City Avg: 9.0 Yrs

State Avg: 7.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Troy, OH (498 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Manuel (7 Years) 7 Yrs

Troy Specialty Average (9.0 Years) 9.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	412	208	$190.00	$101.78
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	164	124	$23.00	$13.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$180.00	$103.05
99213 Established patient office or other outpatient visit, typically 15 minutes	95	73	$134.00	$72.86
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	20	16	$102.00	$42.61
G0008 Administration of influenza virus vaccine	14	14	$41.00	$30.39
90662 Influenza vaccine split virus, preservative free	12	12	$140.00	$81.82

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	341	166	$190.00	$103.73
99213 Established patient office or other outpatient visit, typically 15 minutes	114	87	$134.00	$73.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	82	82	$180.00	$105.28
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	16	16	$144.00	$75.11
81002 Urinalysis, manual test	15	14	$10.00	$3.41
G0008 Administration of influenza virus vaccine	15	15	$38.00	$29.36
99495 Transitional care management services for problem of at least moderate complexity	14	14	$299.00	$167.39
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	13	12	$102.00	$42.69
69209 Removal of impacted ear wax by washing	11	11	$33.00	$12.15

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	246	163	$190.00	$104.40
99213 Established patient office or other outpatient visit, typically 15 minutes	155	102	$134.00	$72.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$180.00	$105.39
G0444 Annual depression screening, 5 to 15 minutes	40	40	$32.00	$14.79
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	29	29	$142.66	$70.12
G0008 Administration of influenza virus vaccine	28	28	$38.00	$27.97
83036 Hemoglobin A1C level	24	22	$25.00	$9.54
99442 Telephone medical discussion with physician, 11-20 minutes	23	21	$134.00	$59.45
99497 Advance care planning, first 30 minutes	21	21	$135.00	$69.84
81002 Urinalysis, manual test	17	17	$10.00	$3.42
99496 Transitional care management services for problem of high complexity	11	11	$405.00	$226.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	199	140	$110.00	$74.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	102	$160.00	$107.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$180.00	$109.36
G0008 Administration of influenza virus vaccine	29	29	$38.00	$16.19
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	26	26	$105.00	$66.43
81002 Urinalysis, manual test	17	16	$10.00	$3.48
99443 Telephone medical discussion with physician, 21-30 minutes	14	13	$110.00	$107.85
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$75.00	$75.00
99495 Transitional care management services for problem of at least moderate complexity	13	11	$270.00	$169.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$175.00	$93.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	181	137	$105.00	$61.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	44	$155.00	$90.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$170.00	$95.39
99495 Transitional care management services for problem of at least moderate complexity	22	21	$397.00	$152.09
G0444 Annual depression screening, 5 to 15 minutes	14	14	$32.00	$14.82
81002 Urinalysis, manual test	11	11	$10.00	$3.48

Medical Specialties & State Licenses

CMS Verified: 2020-01-02

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License OH APRN.CNP.026127

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aprn License

APRN.CNP.026127 (OH)

Hospital & Practice Group Affiliations

Upper Valley Professional Corporation

998 S Dorset Rd, Troy, OH 453734748

Phone: 9373399865

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Irina Gendler , MD

Family Medicine

NPI 1114148376

Doctor of Medicine (M.D.)

Dr. Richard Michael , MD

Family Medicine

NPI 1134137540

Doctor of Medicine (M.D.)

Dr. Henrietta Cautin , MD

Family Medicine

NPI 1275283467

Doctor of Medicine (M.D.)

Robert Wells

Nurse Practitioner

NPI 1336078294

Dr. Leelmohan Ravikumar , MD

Family Medicine

NPI 1881903656

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 January 02, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2020

Registered at 998 S DORSET RD STE 301, TROY, OH 453734748 (Tel: 9373399865)

📍

Updated Business Mailing Address January 02, 2020

Registered at 998 S DORSET RD STE 301, TROY, OH 453734748 (Tel: 9373399865)

👤

Provider Name / Credentials Updated January 02, 2020

Recorded as MISTY MANUEL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2020

Nurse Practitioner (License #APRN.CNP.026127 in OH)

🟢

Initial NPI Registration & Enumeration January 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Misty Manuel. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1811536378

Entity Type:

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

Enumeration Date: January 02, 2020

Last Update: January 02, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

998 S Dorset Rd Ste 301

Troy, OH 453734748

Phone: 9373399865

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.