GLENN ANDREW MAHONEY (PAC) – Medical Physician Assistant, NPI 1841263365
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for GLENN ANDREW MAHONEY (PAC)
Founders Bldg., 3901, Hoyt Avenue, Everett, Snohomish County, Washington, 98201, United States
EVERETT, WA 98201
Phone: (425) 339-5462
Type: Mailing
8910, Vernon Road, West Lake Stevens, Lake Stevens, Snohomish County, Washington, 98258, United States
LAKE STEVENS, WA 98258
Phone: (425) 335-0966
Fax: (425) 335-5145
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: 2024-11-15
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 |
|---|---|---|---|---|
| I20090105000549 | I | Physician Assistant | WA | TBD |
| I20241115003534 | I | Physician Assistant | GA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 124 | 122 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 92 | 91 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 20 | 19 | $0 |
Insurance plans in this area (ZIP 98201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| Emergency Medicine | WI | |
| Emergency Medicine | NH | |
| Family Practice, Emergency Medicine | NC | |
| Physician Assistant | OR | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Emergency Medicine | TN | |
| - | OR |
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