DR. EILEEN M MAHONEY (M.D.) – Otolaryngology Physician, NPI 1720012446
Otolaryngology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
320 OTOLARYNGOLOGY in MO
Provider Addresses for DR. EILEEN M MAHONEY (M.D.)
1465 S Grand Blvd
Saint Louis, MO 631041003
Phone: (314) 617-2000
Type: Location
Salt Creek Lane, Fullersburg, Hinsdale, DuPage County, Illinois, 60558, United States
HINSDALE, IL 605213032
Phone: (630) 789-3110
Fax: (630) 241-0884
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $475.
Total Amount is formed as General ($475) + Research ($0) + Ownership ($0) = $475.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($101).
Total Amount
$475
General + Research + Ownership
Payments
19
Total payment records
General Amount
$475
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2026-01-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20031211001094 | I | Otolaryngology | IL | TBD |
| I20260110000100 | I | Otolaryngology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 175 | 120 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 171 | 118 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 90 | 63 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
Insurance plans in this area (ZIP 63104)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Family Practice, Emergency Medicine | IL | |
| N E U R O L O G Y | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Geriatric Medicine, Family Practice | IL | |
| Family Practice | IL |
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