Active NPI 1568456275 Individual Practitioner Male Practitioner

Dr. Thomas John Mancini , MD

Internal Medicine • Ashburn, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Mancini, MD is a certified Internal Medicine practicing in Ashburn, VA. With approximately 41 years of clinical experience since graduating from West Virginia University School Of Medicine in 1985, Dr. Mancini delivers high-quality medical care to the local community at 21170 ASHBY PONDS BLVD.

Dr. Mancini accepts Medicare assignment.

Frequently performed procedures and clinical services include 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, established patient outpatient office visit, sarscv2 vac 30mcg trs-suc im. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

21170 Ashby Ponds Blvd

Ashburn, VA 201476128

Telephone 5712916131

Associated Practice Facility / Clinic

🏢 Erickson Health Medical Group Of Virginia Pc Facility NPI 1871759340

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Ashburn, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +11.4 yrs vs City Avg

City Avg: 29.6 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

23 Specialists

Practicing in Ashburn, VA (3758 Statewide)

Telehealth Adoption Rate

21.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mancini (41 Years) 41 Yrs

Ashburn Specialty Average (29.6 Years) 29.6 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
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	1,202	381	$16.03	$15.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	946	354	$125.71	$77.01
91320 Sarscv2 vac 30mcg trs-suc im	381	306	$142.23	$139.38
90480 Admn sarscov2 vacc 1 dose	381	306	$40.00	$39.20
G0008 Administration of influenza virus vaccine	350	350	$32.99	$31.41
90662 Influenza vaccine split virus, preservative free	348	348	$83.46	$81.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	247	247	$127.81	$13.92
36415 Insertion of needle into vein for collection of blood sample	228	151	$8.83	$8.65
G0444 Annual depression screening, 5 to 15 minutes	208	208	$19.58	$18.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	207	176	$55.45	$55.21
G0442 Annual alcohol misuse screening, 5 to 15 minutes	204	204	$19.58	$18.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	200	145	$176.59	$98.22
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	100	75	$51.31	$50.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	78	48	$22.87	$41.81
87502 Detection test by nucleic acid for multiple types influenza virus	57	49	$95.80	$93.88
93000 Routine ekg using at least 12 leads including interpretation and report	52	43	$13.96	$13.76
99213 Established patient office or other outpatient visit, typically 15 minutes	45	39	$89.02	$69.61
99496 Transitional care management services for problem of high complexity	42	39	$274.40	$115.12
81003 Automated urinalysis test	38	32	$2.25	$2.20
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	26	19	$52.43	$51.56

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	887	356	$127.02	$82.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	253	253	$128.81	$40.04
G0444 Annual depression screening, 5 to 15 minutes	236	236	$19.58	$18.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	223	164	$177.98	$106.90
36415 Insertion of needle into vein for collection of blood sample	223	156	$8.35	$8.18
G0442 Annual alcohol misuse screening, 5 to 15 minutes	221	221	$19.58	$18.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	195	176	$56.26	$54.77
99213 Established patient office or other outpatient visit, typically 15 minutes	172	138	$89.79	$74.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	91	70	$23.15	$38.50
90480 Admn sarscov2 vacc 1 dose	83	83	$40.00	$39.20
91320 Sarscv2 vac 30mcg trs-suc im	83	83	$131.00	$128.38
85610 Blood test, clotting time	80	11	$4.29	$4.20
G0008 Administration of influenza virus vaccine	67	67	$30.77	$29.81
90662 Influenza vaccine split virus, preservative free	63	63	$73.40	$71.93
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	59	55	$52.05	$50.28
99496 Transitional care management services for problem of high complexity	57	51	$275.33	$126.63
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	54	53	$42.00	$40.55
93000 Routine ekg using at least 12 leads including interpretation and report	53	49	$14.37	$14.32
87502 Detection test by nucleic acid for multiple types influenza virus	36	34	$95.80	$93.88
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	35	30	$52.00	$51.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$218.20	$217.67
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	29	26	$105.66	$105.28
81002 Urinalysis, manual test	26	20	$3.48	$3.41
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	21	$264.74	$259.45
G0009 Administration of pneumococcal vaccine	22	21	$30.85	$30.12
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	21	13	$126.36	$78.89
81003 Automated urinalysis test	19	17	$2.25	$2.20
94640 Inhalation treatment for airway obstruction or sputum production	16	14	$9.00	$8.96
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	15	11	$75.55	$58.02
99495 Transitional care management services for problem of at least moderate complexity	14	13	$203.24	$106.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	240	123	$816.00	$216.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	93	$129.05	$86.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	34	$267.17	$102.15
99239 Hospital discharge day management, more than 30 minutes	57	56	$305.37	$104.50
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$91.48	$72.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	29	$211.20	$70.56
36415 Insertion of needle into vein for collection of blood sample	27	25	$3.00	$2.94
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	24	23	$53.00	$50.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$181.92	$139.47
G0442 Annual alcohol misuse screening, 5 to 15 minutes	22	22	$19.58	$18.69
99292 Critical care, each additional 30 minutes	22	17	$362.00	$108.72
G0444 Annual depression screening, 5 to 15 minutes	20	20	$19.58	$18.35
87502 Detection test by nucleic acid for multiple types influenza virus	19	18	$95.80	$93.88
87804 Detection test by immunoassay with direct visual observation for influenza virus	17	16	$16.55	$16.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$510.50	$197.66
99220 Hospital observation care, typically 70 minutes	12	12	$456.75	$178.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$23.41	$38.97
0134A Fee covid-19 vac 14 res	11	11	$40.00	$38.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$222.65	$220.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	448	208	$253.60	$103.68
99239 Hospital discharge day management, more than 30 minutes	173	163	$264.80	$105.97
99217 Hospital observation care on day of discharge	75	74	$179.72	$72.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	66	$496.79	$201.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	40	$186.40	$72.27
99220 Hospital observation care, typically 70 minutes	49	48	$451.01	$180.28
99291 Critical care, first 30-74 minutes	20	15	$816.00	$221.78
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	18	18	$535.13	$211.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$339.00	$136.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	469	195	$246.00	$105.91
99239 Hospital discharge day management, more than 30 minutes	201	181	$256.00	$108.19
99217 Hospital observation care on day of discharge	47	47	$174.00	$73.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$481.00	$205.89
99220 Hospital observation care, typically 70 minutes	25	25	$438.00	$180.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	17	$172.00	$73.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	398	191	$246.00	$104.16
99239 Hospital discharge day management, more than 30 minutes	248	232	$256.00	$107.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	143	88	$172.00	$72.88
99217 Hospital observation care on day of discharge	61	59	$174.00	$73.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$481.00	$202.62
99220 Hospital observation care, typically 70 minutes	34	34	$438.00	$185.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$328.00	$137.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	326	148	$246.17	$103.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	278	195	$197.00	$106.26
99239 Hospital discharge day management, more than 30 minutes	148	140	$256.88	$106.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	139	132	$328.00	$141.64
99213 Established patient office or other outpatient visit, typically 15 minutes	107	87	$126.00	$72.22
93000 Routine ekg using at least 12 leads including interpretation and report	71	71	$74.00	$16.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	70	$468.89	$201.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	50	$172.07	$72.36
99217 Hospital observation care on day of discharge	60	58	$173.50	$72.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	59	16	$53.00	$20.35
85610 Blood test, clotting time	46	18	$38.00	$4.75
99220 Hospital observation care, typically 70 minutes	35	34	$425.00	$185.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$300.00	$115.61
G0009 Administration of pneumococcal vaccine	15	15	$35.00	$20.24
90670 Pneumococcal vaccine for injection into muscle	14	13	$375.00	$189.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$330.71	$135.88
99238 Hospital discharge day management, 30 minutes or less	13	13	$173.00	$72.69

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	1,071	436	$197.00	$104.65
99213 Established patient office or other outpatient visit, typically 15 minutes	335	237	$126.00	$70.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	228	228	$300.00	$114.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	211	177	$327.63	$140.87
G0008 Administration of influenza virus vaccine	186	186	$40.00	$24.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	158	40	$53.00	$24.98
85610 Blood test, clotting time	152	21	$38.00	$5.08
90653 Vaccine for influenza for injection into muscle	151	151	$75.00	$49.22
93000 Routine ekg using at least 12 leads including interpretation and report	147	139	$74.00	$16.44
G0009 Administration of pneumococcal vaccine	110	109	$35.00	$24.99
90670 Pneumococcal vaccine for injection into muscle	90	90	$367.78	$185.76
J0696 Injection, ceftriaxone sodium, per 250 mg	73	14	$61.00	$0.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	35	$248.00	$103.08
81002 Urinalysis, manual test	46	37	$16.00	$3.43
99239 Hospital discharge day management, more than 30 minutes	37	34	$269.00	$103.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	28	$395.00	$189.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	27	$176.97	$71.32
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$38.00	$16.11
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	26	26	$30.00	$17.34
82962 Blood glucose (sugar) test performed by hand-held instrument	21	19	$16.00	$3.15
99220 Hospital observation care, typically 70 minutes	19	19	$373.00	$183.50
99217 Hospital observation care on day of discharge	19	19	$169.00	$71.96
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$175.00	$96.87
94640 Inhalation treatment for airway obstruction or sputum production	19	17	$76.00	$18.08
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$250.00	$157.14
17000 Destruction of skin growth	17	16	$184.00	$65.92
J1040 Injection, methylprednisolone acetate, 80 mg	17	13	$30.00	$10.87
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	15	12	$178.00	$67.88
69210 Removal of impacted ear wax	12	11	$162.00	$48.45

Medical Specialties & State Licenses

CMS Verified: 2022-12-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101044028

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010131308 (VA)

Commercial Insurance / Payer ID Rr Medicare

P00199970 (VA)

Secondary Practice Locations

44055 Riverside Parkway, Suite 216

Leesburg, VA 201765179

Phone: 7038581395

Practice Associates & Co-Workers

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

11 Associated Practitioners

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Dr. Huma Bhatti , MD

Family Medicine

NPI 1669636593

Doctor of Medicine (M.D.)

Ronald Longo , LCSW

Social Worker - Clinical

NPI 1710423306

Licensed Clinical Social Worker

Dr. Michael Ro , MD

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NPI 1760555221

Doctor of Medicine (M.D.)

Dr. Shaveta Kotwal , MD

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NPI 1841492733

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location December 07, 2022

Registered at 21170 ASHBY PONDS BLVD, ASHBURN, VA 201476128 (Tel: 5712916131)

📍

Updated Business Mailing Address December 07, 2022

Registered at 5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 212281762 (Tel: 5712916131)

📍

Updated Practice Location November 25, 2020

Registered at 44045 RIVERSIDE PKWY, LEESBURG, VA 201765101 (Tel: 7038586000)

📍

Updated Business Mailing Address November 25, 2020

Registered at 44045 RIVERSIDE PKWY, LEESBURG, VA 201765101 (Tel: 7038586000)

✅

NPI Profile Active January 09, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 09, 2010

Registered at 44055 RIVERSIDE PARKWAY, SUITE 216, LEESBURG, VA 201765179 (Tel: 7038581395)

📍

Updated Business Mailing Address January 09, 2010

Registered at PO BOX 17334, BALTIMORE, MD 212971334 (Tel: 7034436717)

👤

Provider Name / Credentials Updated January 09, 2010

Recorded as THOMAS MANCINI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2010

Internal Medicine (License #0101044028 in VA)

🟢

Initial NPI Registration & Enumeration September 08, 2005

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: 1568456275

Entity Type:

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

Enumeration Date: September 08, 2005

Last Update: December 07, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5730 Executive Dr Ste 230

Catonsville, MD 212281762

Phone: 5712916131

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.