Doctor profile · Federal record
Dr. RYAN MANTOOTH, MD
Emergency Medicine Physician (CMS: EMERGENCY MEDICINE) · Emergency Medicine Physician · Student in an Organized Health Care Education/Training Program · FAYETTEVILLE, AR
- NPI 1114450822
- Accepts Medicare
- 9 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3215 N NORTH HILLS BLVD.
FAYETTEVILLE, AR 72703
(479) 463-7102
fax (479) 463-5987 - Mailing address
-
PO BOX 550
LOWELL, AR 727451900
Credentials & registration
- NPI registered
- April 2017 — 9 yrs on file
- Profile last updated
- April 9, 2021
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State licenses (2)
- Arkansas #E-13154 · Alabama #MD.37708
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114450822. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
478
Distinct HCPCS
4
Medicare allowed
$69,619
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 245 | 239 | $162 | |
99284 |
Emergency department visit with moderate level of medical decision making | 129 | 129 | $113 | |
99291 |
Critical care, first 30-74 minutes | 64 | 63 | $198 | |
99283 |
Emergency department visit with low level of medical decision making | 40 | 40 | $64 |
In context: peer comparison
Among 8 peers in this city , average services per provider: 119. This provider delivers 4.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
187
Patients
184
Total drug cost
$2,655
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ondansetron Odt (Ondansetron) | Brand | 63 | 62 | $323 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 40 | 40 | $147 |
| Naloxone Hcl | Generic | 20 | 20 | $1,706 |
| Prednisone | Generic | 15 | 14 | $38 |
| Doxycycline Monohydrate | Generic | 13 | 12 | $170 |
| Pantoprazole Sodium | Generic | 13 | 13 | $76 |
| Cephalexin | Generic | 12 | 12 | $126 |
| Methocarbamol | Generic | 11 | 11 | $69 |