Doctor profile · Federal record
Dr. Denise Mammolito, M.D.
Surgery Physician · Dunlap, IL
- NPI 1972604221
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12507 N Hickory Grove RD
Dunlap, IL 615259411
(309) 696-1085
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- January 16, 2025
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Illinois #036082251
- Medicaid
- IL #036082251
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972604221. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
129
Distinct HCPCS
6
Medicare allowed
$35,550
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 59 | 56 | $88 | |
38900 |
Imaging of lymph nodes during surgery | 16 | 16 | $140 | |
19301 |
Partial removal of breast | 15 | 15 | $670 | |
38525 |
Biopsy or removal of deep lymph nodes of underarm | 14 | 14 | $239 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 13 | 13 | $215 | |
19303 |
Simple complete removal of breast | 12 | 12 | $996 |
In context: peer comparison
Among 1 peers in Dunlap Surgery Physician, average services per provider: 21. This provider delivers 6.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
32
Patients
30
Total drug cost
$49
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tramadol Hcl | Generic | 32 | 30 | $49 |
Frequently asked questions
What is Dr. Denise Mammolito's medical specialty?
Dr. Denise Mammolito practices Surgery Physician in Dunlap, IL.
Where does Dr. Denise Mammolito practice?
Dr. Denise Mammolito practices at 12507 N Hickory Grove RD, Dunlap, IL 615259411. Office phone: 3096961085.
What is Dr. Denise Mammolito's NPI?
Dr. Denise Mammolito's National Provider Identifier (NPI) is 1972604221, issued by NPPES.
What procedures does Dr. Denise Mammolito commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Imaging of lymph nodes during surgery (HCPCS 38900); Partial removal of breast (HCPCS 19301). Source: CMS Medicare Physician & Other Practitioners file.