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DR. BRIAN L. MAHAFFEY MD
NPI 1306984505
Family Medicine - Sports Medicine in Ballwin, MO

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment
15945 CLAYTON RD, SUITE 210, BALLWIN, MO 63011(314) 251-1556(636) 893-1362 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian L. Mahaffey Md NPPES

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

DR. BRIAN L. MAHAFFEY MD (NPI 1306984505) is an individual sports medicine provider in Ballwin, Missouri, licensed in Missouri (103424) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of University Of Missouri, Columbia School Of Medicine (1993).

NPPES Registry Identity

NPI1306984505
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. BRIAN L. MAHAFFEYCredential: MD
Location Address15945 CLAYTON RD, SUITE 210Ballwin, MO 63011-2490
Mailing Address15945 Clayton Rd, Suite 210Ballwin, MO 63011-2490 · (636) 893-1360 · Fax (636) 893-1362
Phone(314) 251-1556
Fax(636) 893-1362
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1993
Enumeration DateFebruary 1, 2007
Last NPPES UpdateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
✔ NPI 1306984505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MO · 103424
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
15945 CLAYTON RD, Ballwin, MO 63011
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Other Identifiers 4

Medicaid208254235MO
Medicaid154946001AR
Other98585MO · Ar Blue Shield
OtherP01317472MO · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Brian L. Mahaffey 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 ID8224089214
PECOS Enrollment IDI20050208000096
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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
528 services58 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
157 services63 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.
112 services69 patients
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327
Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.
37 services17 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.
31 services25 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
28 services19 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 20

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

CHRISTINE ANN SIGMAN MD
Internal Medicine
15945 CLAYTON RD, SUITE 310
BALLWIN, MO 63011
St. Louis County (636) 256-5350
ERICA AMELIA LAMMERT RNFA
Registered Nurse (Registered Nurse First Assistant)
15945 CLAYTON RD, SUITE 305
BALLWIN, MO 63011
St. Louis County (636) 256-5278
JACOB ZEMBLES MD
Internal Medicine (Rheumatology)
15945 CLAYTON RD, SUITE 170
BALLWIN, MO 63011
St. Louis County (636) 256-5070
DR. MARLYS E SCHUH MD
Surgery (Surgical Oncology)
15945 CLAYTON RD, SUITE 120
BALLWIN, MO 63011
St. Louis County (636) 256-5000
DAVID M. SCHOENWALDER M.D.
Internal Medicine
15945 CLAYTON RD, SUITE 310
BALLWIN, MO 63011
St. Louis County (636) 256-5350
DR. JAMES W KETCHUM MD
Internal Medicine
15945 CLAYTON RD, SUITE 310
BALLWIN, MO 63011
St. Louis County (636) 256-5350
TIMOTHY P. MURPHY M.D.
Family Medicine
15945 CLAYTON RD
BALLWIN, MO 63011
St. Louis County (636) 256-5380
CARA HAHS MD
Surgery
15945 CLAYTON RD, SUITE 120
BALLWIN, MO 63011
St. Louis County (636) 256-5000

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 Brian Mahaffey's NPI number?

The NPI number for Brian Mahaffey is 1306984505. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Brian Mahaffey located?

Brian Mahaffey practices at 15945 Clayton Rd Suite 210, Ballwin, MO 63011. The listed phone number is (314) 251-1556.

What is Brian Mahaffey's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Brian Mahaffey enrolled in Medicare?

Yes. Brian Mahaffey 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 Brian Mahaffey accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Brian Mahaffey 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 Brian Mahaffey affiliated with any hospitals?

According to CMS data, Brian Mahaffey is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Brian Mahaffey was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.