BRIAN ROBERT MAHON (MD) – Diagnostic Radiology Physician, NPI 1104998962

BRIAN ROBERT MAHON (MD) is a healthcare provider. based in Tualatin, Oregon. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD19953 (OR). The NPI Number for BRIAN ROBERT MAHON (MD) is 1104998962

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN ROBERT MAHON (MD)
NPI
1104998962
Phone
(503) 692-5737
Address
19300 SW 65TH
Enumeration Date
15 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
5034356322
Graduation Year
1991 (35 years ago)
PAC ID
5799778957
Group Practice PAC ID
9335681972
Professional Enrollment ID
I20091104000554
Address ID
OR971286255MC2700XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

532 DIAGNOSTIC RADIOLOGY in OR

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Provider Addresses for BRIAN ROBERT MAHON (MD)

  • Southwest 65th & Borland, Southwest 65th Avenue, Nyberg, Tualatin, Clackamas County, Oregon, 97062, United States

    LEGACY MERIDIAN PARK HOSPITAL

    TUALATIN, OR 970628854

    Phone: (503) 692-5737

    Fax: (503) 692-5307

    Type: Location

  • C, 6464, Southwest Borland Road, Tualatin, Clackamas County, Oregon, 97062, United States

    SUITE A 4

    TUALATIN, OR 970628854

    Phone: (503) 692-5737

    Fax: (503) 692-5307

    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: 2026-03-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091104000554IDiagnostic RadiologyORTBD
I20260311002942IDiagnostic RadiologyWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view269252$0
71046X-ray of chest, 2 views255251$0
77080Dxa bone density measurement of hip, pelvis, spine167167$0
70450Ct scan head or brain without contrast102100$0
74177Ct scan of abdomen and pelvis with contrast9895$0
View full utilization report →

Insurance plans in this area (ZIP 97062)

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Provider's Procedures

BRIAN ROBERT MAHON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOR71010X-ray of chest, 1 view, front259221
DIAGNOSTIC RADIOLOGYOR71250CT scan chest3534
DIAGNOSTIC RADIOLOGYOR73562X-ray of knee, 3 views1312
DIAGNOSTIC RADIOLOGYOR93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3636

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335681972View full group profile
NameSpecialtyState
Diagnostic RadiologyOR
Diagnostic RadiologyAZ
Diagnostic RadiologyOR
Diagnostic RadiologyUT
Diagnostic RadiologyAZ
Diagnostic RadiologyOR
Diagnostic RadiologyVA
Physician AssistantAZ
Diagnostic RadiologyMA
Diagnostic RadiologyOR

Reviews

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Frequently asked questions

Can I cross-check BRIAN ROBERT MAHON (MD) using NPI 1104998962?
NPI 1104998962 belongs to BRIAN ROBERT MAHON (MD); compare other details if you need extra assurance.
Active or inactive — what applies to BRIAN ROBERT MAHON (MD)?
You should see BRIAN ROBERT MAHON (MD) as active in CMS-hosted NPPES data.
What area of care is associated with BRIAN ROBERT MAHON (MD)?
BRIAN ROBERT MAHON (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is BRIAN ROBERT MAHON (MD) located near Tualatin?
BRIAN ROBERT MAHON (MD) currently maps to Tualatin, Oregon in this extract.
Does BRIAN ROBERT MAHON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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