LUKE MCMAHON (DDS) – Dentist, NPI 1013200179
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
52 MAXILLOFACIAL SURGERY in MN
Provider Addresses for LUKE MCMAHON (DDS)
2718 IDAHO AVE N
CRYSTAL, MN 554272923
Phone: (763) 591-1208
Type: Mailing
606 24TH AVE S
MINNEAPOLIS, MN 554541455
Phone: (612) 659-8689
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Dentsply Sirona Inc ($105).
Total Amount
$105
General + Research + Ownership
Payments
3
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dentsply Sirona Inc | $105 |
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: 2016-06-27
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 |
|---|---|---|---|---|
| I20160627000314 | I | Maxillofacial Surgery | MN | 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 |
|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 55427)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery | MN | |
| Maxillofacial Surgery | MN | |
| Oral Surgery, Maxillofacial Surgery | MN | |
| Maxillofacial Surgery | IA | |
| Maxillofacial Surgery | PA | |
| Maxillofacial Surgery | PA | |
| - | MN | |
| Maxillofacial Surgery | MN | |
| Maxillofacial Surgery | MN | |
| Maxillofacial Surgery | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.