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MRS. CONNETTE PEARL MCMAHON MD
NPI 1245334499
Obstetrics & Gynecology in Fayetteville, NC

Active since September 09, 2006PECOS EnrolledAccepts Medicare Assignment
1261 OLIVER STREET, FAYETTEVILLE, NC 28304(910) 323-1626(910) 323-9056 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Connette Pearl Mcmahon Md NPPES

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

MRS. CONNETTE PEARL MCMAHON MD (NPI 1245334499) is an individual obstetrics & gynecology provider in Fayetteville, North Carolina, licensed in North Carolina (200400237) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of Duke University School Of Medicine (2000).

NPPES Registry Identity

NPI1245334499
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMRS. CONNETTE PEARL MCMAHONCredential: MD
Location Address1261 OLIVER STREETFayetteville, NC 28304-4450
Mailing Address1261 Oliver StreetFayetteville, NC 28304-4450 · (910) 323-1626 · Fax (910) 323-9056
Phone(910) 323-1626
Fax(910) 323-9056
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2000
Enumeration DateSeptember 9, 2006
Last NPPES UpdateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
✔ NPI 1245334499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 200400237
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1261 OLIVER STREET, Fayetteville, NC 28304
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Connette Pearl Mcmahon 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 ID9931154952
PECOS Enrollment IDI20050314000099
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.

Medicare Billing Reassignment

Medicare enrollment records show Connette Mcmahon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jones Center For Womens Health PLLC
Same address
Obstetrics & Gynecology
1261 OLIVER ST
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 4 clinicians in this Medicare group
NPI 1871676296 (910) 323-1626

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
35 services27 patients
Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274
A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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.

Reported Quality Measures

Breast Cancer Screening
71%250 patients4/55-star benchmark: 93%
Cervical Cancer Screening
86%1,895 patients4/55-star benchmark: 98%
Controlling High Blood Pressure
43%145 patients2/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%1,637 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
50%4,383 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 2,098 patients
1%2,098 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

MS. PENELOPE A ZAITER ARNP
Nurse Practitioner (Family)
1261 OLIVER STREET
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1626
OLIVE NKOUAYE LEKE PA-C
Physician Assistant
1261 OLIVER STREET
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-1626

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 Connette Mcmahon's NPI number?

The NPI number for Connette Mcmahon is 1245334499. It was assigned to this individual provider in the NPPES registry on September 9, 2006.

Where is Connette Mcmahon located?

Connette Mcmahon practices at 1261 Oliver Street, Fayetteville, NC 28304. The listed phone number is (910) 323-1626.

What is Connette Mcmahon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Connette Mcmahon enrolled in Medicare?

Yes. Connette 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.

Which organization bills Medicare for Connette Mcmahon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connette Mcmahon reassigns Medicare benefits to Jones Center For Womens Health PLLC (Fayetteville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connette Mcmahon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connette Mcmahon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Connette 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 Connette Mcmahon affiliated with any hospitals?

According to CMS data, Connette Mcmahon is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Connette Mcmahon was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.