NPIMap

Individual provider Active NPI

Matthew Thomas Mantell, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Winchester, VA
National Provider Identifier
1649561515
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
0101262349 Issued in VA
Practice address
128 Medical Cir
Winchester, VA 22601-3322
Phone
(540) 667-8975
NPI assigned
Apr 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101262349 VA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0101262349 VA Primary

Addresses

Primary practice location

128 Medical Cir
Winchester, VA 22601-3322

Mailing address

128 Medical Circle
Winchester, VA 22601-3322
Phone (540) 667-8975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170918002948 VA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 8729352554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

128 Medical Cir
Winchester, VA 22601-3322
Phone (540) 667-8975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement37
Lower limb (leg) arthroscopy (minimally invasive joint repair)40
Upper limb (arm) arthroscopy (minimally invasive joint repair)65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101262349VAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics LLC Orthopaedic Surgery Current Accepting new patients
Winchester Orthopaedic Associates, LTD Orthopaedic Surgery CurrentSince Sep 1, 2017 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Winchester Orthopaedic Associates LTD Orthopaedic Surgery CurrentSince Sep 1, 2017 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Woa Imaging Associates, P.C. Orthopaedic Surgery CurrentSince Sep 1, 2017 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Orthopaedic Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1830 Amherst St
Winchester, VA 22601
Phone (540) 536-0057

130 Medical Cir
Winchester, VA 22601
Phone (540) 667-7076

136 Linden Dr
Ste 104
Winchester, VA 22601

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

128 Medical Cir
Winchester, VA 22601
Phone (540) 667-8975

14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: matt.mantellmd.p1@direct.winc-ortho.nextgenshare.com
  • Direct secure messaging: 44mmantell@cfaortho.emadirect.md

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1649561515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MEDICAL CIRCLE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013322",
            "telephone_number": "540-667-8975",
            "fax_number": "540-667-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MEDICAL CIR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013322",
            "telephone_number": "540-667-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTELL",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101262349",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101262349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.