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Lee Michael Maniscalco, M.D.

NPI 1821397589ActiveIndividual· Oral & Maxillofacial Surgery· Birmingham, AL

Opted out of Medicare from August 2026 to August 2028. Oral & Maxillofacial Surgery (M.D.) in Birmingham, Alabama, trained at University of South Alabama College of Medicine (class of 2011). 21 Medicare patients in 2024, $5,309 paid; all of their 990 Part D prescriptions were generic. Biohorizons Implant Systems Inc. reported $21.12 in payments in 2024, mostly food and beverage.

Overview

NPI1821397589
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedMar 21, 2011
Last updated in NPPESApr 20, 2026
Certified by providerApr 20, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Oral & Maxillofacial Surgery Primary204E00000X6404AL
General Practice208D00000XMD.31846AL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Aug 13, 2026 – Aug 13, 2028
Can order and referYes
Accepts assignmentYes (participating)

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare services in 2024

Medicare patients21
Services billed33 across 14 procedure codes
Paid by Medicare$5,309

Part D prescriptions in 2024

Prescriptions (claims)990 · 990 30-day fills
Patients363
Total drug cost$3,207
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of South Alabama College of Medicine
Graduation year2011
Medicare specialtyOral Surgery

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2024$21.12 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Biohorizons Implant Systems Inc.$21.121

What the 2024 payments were for

  • Food and Beverage$21.12 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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