DR. JOHN MAURICE MAHAN (M.D.) – Psychiatry Physician, NPI 1558652693

DR. JOHN MAURICE MAHAN (M.D.) is a healthcare provider. based in Medford, Oregon. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. MD176522 (OR). The NPI Number for DR. JOHN MAURICE MAHAN (M.D.) is 1558652693

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN MAURICE MAHAN (M.D.)
NPI
1558652693
Phone
(541) 774-8201
Address
140 S HOLLY ST
Enumeration Date
24 April 2011
Last Update Date
4 January 2017

Doctor Profile

Medical School Name
OREGON HEALTH & SCIENCES UNIV SCHOOL OF DENTISTRY
Secondary Phone
5417747876
Graduation Year
2011 (15 years ago)
PAC ID
1153551692
Group Practice PAC ID
2961398821
Professional Enrollment ID
I20161214001060
Address ID
OR975013113ME140XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

454 PSYCHIATRY in OR

Provider Addresses for DR. JOHN MAURICE MAHAN (M.D.)

  • 140 S HOLLY ST

    MEDFORD, OR 975013113

    Phone: (541) 774-8201

    Fax: (541) 774-7979

    Mailing address matches the actual address.

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: 2016-12-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161214001060IPsychiatryORTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes3922$0
99214Established patient office or other outpatient visit, 30-39 minutes3218$0
99213Established patient office or other outpatient visit, 20-29 minutes2017$0
View full utilization report →

Insurance plans in this area (ZIP 97501)

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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: 2961398821View full group profile

Reviews

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Frequently asked questions

Is DR. JOHN MAURICE MAHAN (M.D.) listed with a National Provider Identifier?
Yes — DR. JOHN MAURICE MAHAN (M.D.) has NPI 1558652693 on file in the registry.
Is DR. JOHN MAURICE MAHAN (M.D.) shown as active in public data?
Registry records indicate DR. JOHN MAURICE MAHAN (M.D.) maintains an active NPI.
How would a patient describe DR. JOHN MAURICE MAHAN (M.D.)'s focus?
For DR. JOHN MAURICE MAHAN (M.D.), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOHN MAURICE MAHAN (M.D.) located near Medford?
DR. JOHN MAURICE MAHAN (M.D.) currently maps to Medford, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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