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STEVEN J MCMAHON M. D.
NPI 1235131491
Otolaryngology in Raleigh, NC

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
82.48/100
CMS Quality Rating
4600 LAKE BOONE TR, SUITE 100, RALEIGH, NC 27607(919) 787-1374(919) 571-8135 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Jul 9, 2021 (2 updates tracked since 2021).

About Steven J Mcmahon M. D. NPPES

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

STEVEN J MCMAHON M. D. (NPI 1235131491) is an individual otolaryngology provider in Raleigh, North Carolina, licensed in North Carolina (200700554) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Emory University School Of Medicine (2002).

NPPES Registry Identity

NPI1235131491
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameSTEVEN J MCMAHONCredential: M. D.
Location Address4600 LAKE BOONE TR, SUITE 100Raleigh, NC 27607
Mailing Address4600 Lake Boone Tr, Suite 100Raleigh, NC 27607 · (919) 787-1374 · Fax (919) 571-8135
Phone(919) 787-1374
Fax(919) 571-8135
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2002
Enumeration DateJune 1, 2005
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2021
✔ NPI 1235131491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NC · 200700554
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4600 LAKE BOONE TR, Raleigh, NC 27607
Open in Google Maps ↗

Other Identifiers 1

Other14796NC · Bcbsnc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Steven J Mcmahon M. D. 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 ID1355422734
PECOS Enrollment IDI20080111000544
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 9

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 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.
224 services169 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
116 services72 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
96 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
94 services94 patients
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.
80 services62 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
52 services50 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

82.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.75
Promoting Interoperability97
Improvement Activities40
Cost76.36

Other Providers at the Same Location NPPES 14

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

DR. WILLIAM G MORREL IV M.D.
Otolaryngology
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Wake County (919) 420-2027
SARAH B ODOM PA
Physician Assistant
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Wake County (919) 420-2027
DR. ELIZABETH M HUEMAN M.D.
Otolaryngology
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Wake County (919) 420-2027
PAIGE M. GOWER P.A.
Physician Assistant
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Wake County (919) 420-2027
DR. ROBERT DANIEL PETERS M.D.
Otolaryngology
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Wake County (919) 420-2027
MARK W CLARKSON M.D.
Otolaryngology
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Wake County (919) 420-2027
WILLIAM F DURLAND JR. M.D.
Otolaryngology
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Wake County (919) 420-2027
KATIE ALEXANDRA PALMER AUD
Audiologist
4600 LAKE BOONE TR, SUITE 100
RALEIGH, NC 27607
Wake County (919) 787-1374

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 Steven Mcmahon's NPI number?

The NPI number for Steven Mcmahon is 1235131491. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Steven Mcmahon located?

Steven Mcmahon practices at 4600 Lake Boone Tr Suite 100, Raleigh, NC 27607. The listed phone number is (919) 787-1374.

What is Steven Mcmahon's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Steven Mcmahon enrolled in Medicare?

Yes. Steven Mcmahon 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 Steven Mcmahon accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Steven Mcmahon 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 Steven Mcmahon affiliated with any hospitals?

According to CMS data, Steven Mcmahon is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Steven Mcmahon was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.