PHILIP A MAHONEY JR. MD
NPI 1194779017
Family Medicine in Spartanburg, SC

Q: What is Philip Mahoney's NPI number?

The NPI number for Philip Mahoney is 1194779017. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Q: What is Philip Mahoney's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Mahoney was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

120 HEYWOOD AVE, SPARTANBURG, SC 29302(864) 562-5102 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2021, Nov 23, 2016, Feb 9, 2016 (3 updates tracked since 2016).

On this page

About Philip A Mahoney Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP A MAHONEY JR. MD (NPI 1194779017) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (24636) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Medical College Of Ohio (2003).

NPPES Registry Identity

NPI1194779017

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePHILIP A MAHONEY JR.Credential: MD

Location Address120 HEYWOOD AVESpartanburg, SC 29302-1210

Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413

Phone(864) 562-5102

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 2003

Enumeration DateMay 22, 2006

Last NPPES UpdateFebruary 4, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2021

✔ NPI 1194779017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 24636

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

120 HEYWOOD AVE, Spartanburg, SC 29302

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Other Identifiers 2

Medicaid246362SC

OtherP01617594SC · Railrod Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip A Mahoney Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224010061

PECOS Enrollment IDI20040604000162

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

401 services181 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

301 services166 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

184 services150 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

142 services142 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

122 services69 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

99 services80 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

75 services75 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

65 services65 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

32 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services19 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

16 services13 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

13 services11 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

12 services12 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Union Medical Center

Acute Care Hospitals · Union, SC

OwnershipVoluntary non-profit - Other

CMS Certification Number420108

Location322 West South StreetUnion, SC 29379 · Union County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers19 claims31 services$6.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPARTANBURG MEDICAL CENTER

Family Medicine

120 HEYWOOD AVE, SUITE 200
SPARTANBURG, SC 29302

Spartanburg County (864) 573-9595

SCOTT A COLEY M. D.

Family Medicine

120 HEYWOOD AVE, SUITE 200
SPARTANBURG, SC 29302

Spartanburg County (864) 573-9595

DR. VINCENT C SLATER D.O.

Family Medicine

120 HEYWOOD AVE
SPARTANBURG, SC 29302

Spartanburg County (864) 573-9595

SPARTANBURG REGIONAL HEALTHCARE SYSTEM

Nurse Practitioner (Gerontology)

120 HEYWOOD AVE, SUITE 300
SPARTANBURG, SC 29302

Spartanburg County (864) 560-3860

SPARTANBURG REGIONAL HEALTHCARE DISTRICT

Durable Medical Equipment & Medical Supplies

120 HEYWOOD AVE, SUITE 400
SPARTANBURG, SC 29302

Spartanburg County (864) 560-3900

SPARTANBURG REGIONAL HEALTHCARE SYSTEM

Family Medicine (Geriatric Medicine)

120 HEYWOOD AVE, SUITE 300
SPARTANBURG, SC 29302

Spartanburg County (864) 560-3860

PATRICIA MCROBBIE MD

Family Medicine (Geriatric Medicine)

120 HEYWOOD AVE, SUITE 200
SPARTANBURG, SC 29302

Spartanburg County (864) 560-3800

SPARTANBURG MEDICAL CENTER

Home Health

120 HEYWOOD AVE, SUITE 300
SPARTANBURG, SC 29302

Spartanburg County (864) 560-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Mahoney's NPI number?

The NPI number for Philip Mahoney is 1194779017. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Philip Mahoney located?

Philip Mahoney practices at 120 Heywood Ave, Spartanburg, SC 29302. The listed phone number is (864) 562-5102.

What is Philip Mahoney's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Mahoney enrolled in Medicare?

Yes. Philip Mahoney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Philip Mahoney accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list Philip Mahoney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Philip Mahoney affiliated with any hospitals?

According to CMS data, Philip Mahoney is affiliated with Spartanburg Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Mahoney was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.