GERALD MAHON (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1154302289
Geriatric Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for GERALD MAHON (M.D.)
PO BOX 23340
SAINT LOUIS, MO 631563340
Phone: (314) 851-1075
Fax: (314) 851-4445
Type: Mailing
13303, Tesson Ferry Road, Saint Louis County, Missouri, 63128, United States
SAINT LOUIS, MO 631284062
Phone: (314) 842-4744
Fax: (314) 842-3835
Type: Location
13303 Tesson Ferry Rd
Saint Louis, MO 631284062
Phone: (314) 842-4744
Fax: (314) 842-3835
Type: Location
1008 S SPRING AVE FL 2
SAINT LOUIS, MO 631102520
Phone: (314) 977-8462
Fax: (314) 977-3370
Type: Mailing
1201 S GRAND BLVD
SAINT LOUIS, MO 631041016
Phone: (314) 977-8462
Fax: (314) 977-3370
Type: Location
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: 2008-01-23
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 |
|---|---|---|---|---|
| I20080123000911 | I | Geriatric Medicine | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63156)
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Group practice members
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