Doctor profile · Federal record
Dr. Simon Mantha, MD
Hematology (Internal Medicine) Physician (CMS: Hematology) · New York, NY
- NPI 1831131325
- Accepts Medicare
- MIPS 74.0 / 100 · 2023
- 27 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1275 York Ave
New York, NY 100656007
(212) 639-2000 - Mailing address
-
633 3Rd Ave
New York, NY 100176706
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- April 7, 2015
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 207RH0000X — NUCC code
- State license (1)
- Massachusetts #229237
- Medicaid
- MA #110073774A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1831131325. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
521
Distinct HCPCS
10
Medicare allowed
$66,836
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 233 | 128 | $110 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 55 | 35 | $134 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 43 | 43 | $205 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 39 | 23 | $89 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 38 | 38 | $195 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 35 | 35 | $147 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 25 | 22 | $74 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 24 | 24 | $161 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 18 | 18 | $95 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $151 |
In context: peer comparison
Among 19 peers in New York Hematology (Internal Medicine) Physician, average services per provider: 84. This provider delivers 6.2× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
344
Patients
87
Total drug cost
$253,881
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Xarelto (Rivaroxaban) | Brand | 180 | 43 | $150,836 |
| Eliquis (Apixaban) | Brand | 90 | 23 | $70,821 |
| Enoxaparin Sodium | Generic | 74 | 21 | $32,224 |
Frequently asked questions
What is Dr. Simon Mantha's medical specialty?
Dr. Simon Mantha practices Hematology (Internal Medicine) Physician in New York, NY.
Where does Dr. Simon Mantha practice?
Dr. Simon Mantha practices at 1275 York Ave, New York, NY 100656007. Office phone: 2126392000.
What is Dr. Simon Mantha's NPI?
Dr. Simon Mantha's National Provider Identifier (NPI) is 1831131325, issued by NPPES.
Does Dr. Simon Mantha accept Medicare assignment?
Yes. Dr. Simon Mantha accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Simon Mantha commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); New patient office or other outpatient visit (HCPCS 99205). Source: CMS Medicare Physician & Other Practitioners file.