Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Dev Mangalat , MD

Surgery - Vascular Surgery • Gainesville, GA

Active NPI 1609040401 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

725 Jesse Jewell Pkwy Se
Gainesville, GA 305013834

Call 6782074000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

725 Jesse Jewell Pkwy Se

Gainesville, GA 305013834

Telephone 6782074000
Fax 7705312435
Organization at the Same NPPES Address or Phone
The Longstreet Clinic, Pc Facility NPI 1326019977

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 6 distinct additional practice-address records in Braselton, GA; Duluth, GA; Gainesville, GA and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Northside Surgical Professional Services Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2003

Medicare patients

279 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $81,298 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $62,641 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

280 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$10,289 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $2,869.23 across 48 records.

By nature of payment

  • Food and Beverage: $2,676.85 across 45 records.
  • Travel and Lodging: $192.38 across 3 records.

Reporting-company totals (3 largest of 16)

  • Medtronic, Inc.: $900.91 across 15 records.
  • Abbott Laboratories: $601.85 across 8 records.
  • Penumbra, Inc.: $535.42 across 5 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

23 years (graduated 2003)

CMS Doctors and Clinicians data list 2003 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mangalat has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mangalat as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gainesville and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 70% of clinicians listed under Surgery - Vascular Surgery in Georgia (2024, 136 clinicians with data). Median for this group: 917. Middle half: 542 to 1,931.

Too few clinicians listed under Surgery - Vascular Surgery in Gainesville have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Surgery - Vascular Surgery in Georgia (2024, 136 clinicians with data). Median for this group: $98,390. Middle half: $57,471 to $184,776.

Too few clinicians listed under Surgery - Vascular Surgery in Gainesville have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Surgery - Vascular Surgery in Georgia (2024, 136 clinicians with data). Median for this group: $74,483. Middle half: $43,029 to $139,992.

Too few clinicians listed under Surgery - Vascular Surgery in Gainesville have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Surgery - Vascular Surgery in Georgia (2024, 134 clinicians with data). Median for this group: 214. Middle half: 100 to 352.

Too few clinicians listed under Surgery - Vascular Surgery in Gainesville have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Surgery - Vascular Surgery in Georgia (2024, 134 clinicians with data). Median for this group: $33,918. Middle half: $10,349 to $73,223.

Too few clinicians listed under Surgery - Vascular Surgery in Gainesville have Medicare Part D data for 2024 to compare.

11 active clinicians are listed under Surgery - Vascular Surgery with a practice address in Gainesville, GA (185 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gainesville

36.4% of these 11 clinicians have the CMS telehealth indicator.

90.9% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 48 records totaling $2,869.23.

Manufacturer Payment Nature Product Type Amount ($)
Abbott Laboratories
Food and Beverage
In-kind items and services
ESPRIT General $168.52
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $167.63
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $161.51
Penumbra, Inc.
Food and Beverage
Cash or cash equivalent
Indigo System General $148.72
Abbott Laboratories
Food and Beverage
In-kind items and services
ESPRIT General $144.34
Shockwave Medical, Inc
Food and Beverage
Cash or cash equivalent
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter General $143.72
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $139.42
Boston Scientific Corporation
Food and Beverage
In-kind items and services
ENROUTE Transcarotid Neuroprotection System General $135.50
Penumbra, Inc.
Food and Beverage
Cash or cash equivalent
Penumbra System General $130.06
Abbott Laboratories
Food and Beverage
In-kind items and services
ESPRIT General $124.76
Bone Support Inc.
Food and Beverage
In-kind items and services
CERAMENTBONE VOID FILLER General $122.76
Penumbra, Inc.
Food and Beverage
Cash or cash equivalent
Penumbra System General $100.92
Penumbra, Inc.
Travel and Lodging
Cash or cash equivalent
Indigo System General $99.96
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $72.98
Abbott Laboratories
Food and Beverage
In-kind items and services
ESPRIT General $67.24
Penumbra, Inc.
Travel and Lodging
Cash or cash equivalent
Indigo System General $55.76
Solventum Corporation
Food and Beverage
Cash or cash equivalent
ACTIV.A.C. General $54.52
Shockwave Medical, Inc
Food and Beverage
In-kind items and services
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter General $53.45
Shockwave Medical, Inc
Food and Beverage
In-kind items and services
Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter General $41.89
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $41.19
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $40.08
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $39.00
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $37.30
Medtronic, Inc.
Food and Beverage
In-kind items and services
ENDURANT IIS General $37.12
Medtronic, Inc.
Travel and Lodging
In-kind items and services
ENDURANT IIS General $36.66

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
92 79 $273.00 $89.02
93880 Ultrasound of both sides of head and neck blood flow
66 56 $582.00 $173.33
93970 Ultrasound study of arm or leg veins with compression and maneuvers
52 50 $574.00 $181.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
47 47 $339.00 $110.17
93971 Ultrasound study of one arm or leg veins with compression and maneuvers
39 36 $364.00 $108.75
93925 Ultrasound of leg arteries or artery grafts
37 31 $731.00 $235.65
93990 Ultrasound of hemodialysis access
30 20 $391.00 $126.39
93922 Ultrasound study of arm and leg arteries
26 24 $250.00 $65.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
22 21 $386.00 $125.95
93925 Ultrasound of leg arteries or artery grafts
21 21 $112.00 $36.45
93926 Ultrasound of one leg arteries or artery grafts
21 17 $389.00 $123.97
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
19 15 $550.00 $158.30
75710 Review by radiologist of arm or leg artery image
17 16 $248.00 $80.12
75625 Review by radiologist of abdominal aorta image
16 15 $202.00 $65.76
93979 Ultrasound of aorta, vena cava, groin vessels or bypass grafts
15 12 $357.00 $92.35
76937 Ultrasonic guidance for blood vessel access
14 13 $43.00 $13.45
93926 Ultrasound of one leg arteries or artery grafts
13 13 $69.00 $22.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
13 13 $392.00 $127.95
36475 Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance
12 11 $3298.00 $1038.32
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel
12 12 $265.00 $86.03

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Clopidogrel Clopidogrel Bisulfate 64 3,210 $559.29 22
Tramadol Hcl Tramadol Hcl 48 148 $55.26 35
Cilostazol Cilostazol 29 1,764 $362.52 12
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 25 90 $89.68 21
Diazepam Diazepam 25 26 $11.91 13
Eliquis Apixaban 14 480 $9,210.32 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-05-13
Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

License # reported to NPPES NC 145571

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
794441598A (GA)
Medicaid ID
794441598B (GA)
Medicaid ID
794441598D (GA)
Other Identifier Medicare Railroad
P00903608 (GA)
Other Identifier Cigna
4453689 (GA)
Other Identifier Amerigroup
01355160 (GA)
Other Identifier Aetna
9102580 (GA)
Other Identifier Uhc
3186961 (GA)
Other Identifier Bcbs
52289700 (GA)
Other Identifier Wellcare
559684 (GA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - VASCULAR SURGERY

Medicare Enrollment ID

I20100915000579

Enrollment State Jurisdiction

GA

PECOS Control ID

7911022868

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Northside Surgical Professional Services Llc

3620 Howell Ferry Rd, Duluth, GA 300963178

Phone: 6783126800

Northside Surgical Professional Services Llc

2200 Medical Ctr Blvd, Lawrenceville, GA 300467767

Northside Surgical Professional Services Llc

1000 Johnson Ferrry Rd Ne, Atlanta, GA 303421606

Phone: 4048518000

Northside Surgical Professional Services Llc

1000 Johnson Ferry Ne, Atlanta, GA 303421606

Northside Surgical Professional Services Llc

2220 Wisteria Dr, Snellville, GA 300784604

Phone: 6783444944

Secondary Practice Locations

631 Professional Dr Ste 240

Lawrenceville, GA 300463397

Phone: 6782044000

1270 Friendship Rd

Braselton, GA 305175608

Phone: 6782074000

1000 Medical Center Blvd

Lawrenceville, GA 300467694

Phone: 6782074000

3620 Howell Ferry Rd

Duluth, GA 300963178

Phone: 6782074000

743 Spring St Ne

Gainesville, GA 305013715

Phone: 6782074000

1400 River Pl

Braselton, GA 305175600

Phone: 6782074000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Dr. Suman Annambhotla , MD

Surgery - Vascular Surgery

NPI 1760712889

Doctor of Medicine (M.D.)

Sarah Applegarth , PA-C

Physician Assistant - Surgical

NPI 1134593809

Physician Assistant (Certified)

Dr. Courtney Grant , MD

Surgery - Vascular Surgery

NPI 1033557459

Doctor of Medicine (M.D.)

Jarrod Luttjohann , PA-C

Physician Assistant - Surgical

NPI 1437561099

Physician Assistant (Certified)

Brandi Monroe , PA

Physician Assistant - Surgical

NPI 1013299007

Physician Assistant

Dr. Charles Moomey , MD

Surgery - Vascular Surgery

NPI 1689671364

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated April 14, 2008.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1609040401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2008
Last Update: May 13, 2021
Sole Proprietor: No

Other Surgery - Vascular Surgery Specialists in Gainesville

All Surgery - Vascular Surgery Specialists in Gainesville

Mailing Address

Po Box 658

Gainesville, GA 305030658

Phone: 7707181122

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.