DR. KEVIN ROBERT MAHONEY (M.D.) – Emergency Medicine Physician, NPI 1164494241

DR. KEVIN ROBERT MAHONEY (M.D.) is a healthcare provider. based in Sheridan, Wyoming. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 5591AWY (WY). The NPI Number for DR. KEVIN ROBERT MAHONEY (M.D.) is 1164494241

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN ROBERT MAHONEY (M.D.)
NPI
1164494241
Phone
(307) 672-1000
Address
1401 W 5th St
Enumeration Date
3 February 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
3078564161
Graduation Year
1994 (32 years ago)
PAC ID
9133103070
Group Practice PAC ID
3476462334
Professional Enrollment ID
I20040712000597
Address ID
WY825012274RI2100XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

328 FAMILY PRACTICE in WY

Provider Addresses for DR. KEVIN ROBERT MAHONEY (M.D.)

  • 1401 W 5th St

    Sheridan, WY 828012705

    Phone: (307) 672-1000

    Type: Location

  • 1435 Burton St

    Sheridan, WY 828012723

    Phone: (307) 675-2650

    Type: Location

  • 120, North C Avenue, East Thermopolis, Hot Springs County, Wyoming, 82443, United States

    THERMOPOLIS, WY 824432410

    Phone: (307) 864-5534

    Fax: (307) 864-9470

    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: 2004-07-12

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
I20040712000597IFamily PracticeWYTBD

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
99285Emergency department visit with high level of medical decision making186171$0
99284Emergency department visit with moderate level of medical decision making129116$0
99283Emergency department visit with low level of medical decision making6461$0
99291Critical care, first 30-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 82801)

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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: 3476462334View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineMI
Emergency MedicineIN
Family Practice, Emergency MedicineOR
-WA
Emergency MedicineOR
Emergency MedicineWA
Emergency MedicineWA
-NY
-WA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KEVIN ROBERT MAHONEY (M.D.)?
DR. KEVIN ROBERT MAHONEY (M.D.) — NPI 1164494241 — is the standard way to identify this listing.
Does CMS list DR. KEVIN ROBERT MAHONEY (M.D.) as active?
Yes — DR. KEVIN ROBERT MAHONEY (M.D.) is active in the NPI listing used on this page.
What is DR. KEVIN ROBERT MAHONEY (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. KEVIN ROBERT MAHONEY (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEVIN ROBERT MAHONEY (M.D.)?
DR. KEVIN ROBERT MAHONEY (M.D.)'s geographic hint is Sheridan, Wyoming in our summary view.
Why does DR. KEVIN ROBERT MAHONEY (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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