Mariam Elizabeth Mansour, MD
NPI 1902434095ActiveIndividual· Family Medicine, Sports Medicine· Germantown, TN
Family Medicine, Sports Medicine (MD) in Germantown, Tennessee, trained at Texas A & M University System, Hsc, College of Medicine (class of 2020). 93 Medicare patients in 2024, $15,221 paid; nearly all of their 83 Part D prescriptions were generic (94%). Biotissue Holdings Inc. was the largest of 3 companies reporting payments in 2025, $164.01 in all, mostly food and beverage.
Overview
| NPI | 1902434095 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 1, 2020 |
| Last updated in NPPES | Apr 1, 2025 |
| Certified by provider | Apr 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | 71949 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MS); Practitioner - Family Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 580 across 48 procedure codes |
| Paid by Medicare | $15,221 |
Part D prescriptions in 2024
| Prescriptions (claims) | 83 · 139 30-day fills |
|---|---|
| Patients | 49 |
| Total drug cost | $7,484 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | Texas A & M University System, Hsc, College of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Family Practice |
| Secondary specialties | Sports Medicine |
| Telehealth | Offers telehealth |
Medical group
- Campbell Clinic, PCBristol, TN · 239 clinicians
Hospital affiliations
- Baptist Memorial Hospital TiptonCovington, TN
- Methodist Hospitals of MemphisMemphis, TN
Other facilities
- Tennessee Quality Care - Home HealthHome health agency · Parsons, TN
Industry payments (Open Payments)
- 2025$164.01 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Biotissue Holdings Inc. | $123.10 | 1 |
| Vertex Pharmaceuticals Incorporated | $26.06 | 1 |
| Bioventus LLC | $14.85 | 1 |
What the 2025 payments were for
- Food and Beverage$164.01 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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