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Active NPI 1326419748 Individual Practitioner Male Practitioner

Shaun Mantooth , PA

Physician Assistant • Lubbock, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shaun Mantooth, PA is a certified Physician Assistant practicing in Lubbock, TX. With approximately 11 years of clinical experience since completing medical education in 2015, Shaun Mantooth delivers high-quality medical care to the local community at 6002 SLIDE RD STE D24.

Shaun Mantooth maintains professional affiliations with Lubbock County Hospital District, Umc Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6002 Slide Rd Ste D24

Lubbock, TX 794144310

Telephone 8067610450
Fax 8067967259

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lubbock, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -2.5 yrs vs City Avg
City Avg: 13.5 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
112 Specialists

Practicing in Lubbock, TX (11140 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mantooth (11 Years) 11 Yrs
Lubbock Specialty Average (13.5 Years) 13.5 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg
105 14 $1.00 $0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
47 36 $364.00 $106.14
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
30 29 $174.00 $67.06
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
27 25 $50.00 $15.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
27 21 $49.00 $11.97
99213 Established patient office or other outpatient visit, typically 15 minutes
18 16 $260.00 $77.63

Medical Specialties & State Licenses

CMS Verified: 2025-10-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA10211

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Temporary Lic Number
642529 (TX)

Hospital & Practice Group Affiliations

Lubbock County Hospital District

602 Indiana Ave, Lubbock, TX 794153364

Phone: 8067759700

Umc Physicians

6002 Slide Rd, Lubbock, TX 794144310

Phone: 8067610450

Lubbock County Hospital District

11011 Slide Rd, Lubbock, TX 794242274

Phone: 8067758459

Umc Physicians

808 Joliet Ave, Lubbock, TX 794151148

Phone: 8067610545

Umc Physicians

7501 Quaker Ave, Lubbock, TX 794243367

Phone: 8067883306

Secondary Practice Locations

602 Indiana Ave

Lubbock, TX 794153364

Phone: 8067758200

Practice Associates & Co-Workers

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

10 Associated Practitioners
Janelle-Ashley Mendoza , APRN

Nurse Practitioner - Family

NPI 1053293084

Advanced Practice Registered Nurse

NPI 1104958560

PHYSICIANASSISTANT

Rebecca Fant , FNP

Nurse Practitioner

NPI 1114982030

Family Nurse Practitioner

Sandra Dorsett , APRN FNP-C

Nurse Practitioner - Women's Health

NPI 1144972035

APRNFNPC

Alexis Truesdell

Nurse Practitioner - Family

NPI 1154911873
Ashley Richards , FNP-C

Nurse Practitioner - Family

NPI 1487367140

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location September 01, 2022

Registered at 6002 SLIDE RD STE D24, LUBBOCK, TX 794144310 (Tel: 8067610450)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2020

Physician Assistant (License #PA10211 in TX)

📍
Updated Business Mailing Address January 21, 2019

Registered at 5219 CITY BANK PKWY STE 35, LUBBOCK, TX 794073537 (Tel: 8067610333)

📍
Updated Practice Location October 04, 2018

Registered at 7501 QUAKER AVE, LUBBOCK, TX 794243367 (Tel: 8067883306)

📍
Updated Business Mailing Address October 04, 2018

Registered at 5219 CITY BANK PKWY STE 214, LUBBOCK, TX 794073537 (Tel: 8067610333)

NPI Profile Active October 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2015

Registered at 1902 50TH ST, LUBBOCK, TX 794122706 (Tel: 8063676757)

📍
Updated Business Mailing Address October 12, 2015

Registered at 1902 50TH ST, LUBBOCK, TX 794122706 (Tel: 8063676757)

👤
Provider Name / Credentials Updated October 12, 2015

Recorded as SHAUN MANTOOTH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 12, 2015

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: 1326419748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2015
Last Update: October 02, 2025
Sole Proprietor: No

Mailing Address

5219 City Bank Pkwy Ste 35

Lubbock, TX 794073537

Phone: 8067610333

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.