BRIAN LANE MCMAHAN (M.D.) – Diagnostic Radiology Physician, NPI 1043501273
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
194 DIAGNOSTIC RADIOLOGY in ID
Provider Addresses for BRIAN LANE MCMAHAN (M.D.)
190 E BANNOCK ST
BOISE, ID 837126241
Phone: (208) 381-2094
Fax: (208) 381-1791
Type: Location
PO BOX 1108
CORVALLIS, OR 973391108
Phone: (208) 381-2094
Fax: (208) 381-1791
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170927004139 | I | Diagnostic Radiology | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 638 | 638 | $0 |
| 73564 | X-ray of knee, 4 or more views | 449 | 380 | $0 |
| 73502 | X-ray of hip, 2-3 views | 392 | 370 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 372 | 344 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 362 | 291 | $0 |
Insurance plans in this area (ZIP 83712)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Nurse Practitioner | ID | |
| General Surgery | ID | |
| Interventional Radiology | ID | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology | ID | |
| Nurse Practitioner | ID |
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