KEVIN R MAHONEY MD
NPI 1386745115
Surgery - Trauma Surgery in Saint Louis, MO

Q: What is Kevin Mahoney's NPI number?

The NPI number for Kevin Mahoney is 1386745115. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Kevin Mahoney's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Mahoney was last updated on September 22, 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.

Active since September 26, 2006PECOS Enrolled

81.57/100

CMS Quality Rating

1225 S GRAND BLVD, LEVEL 2, SAINT LOUIS, MO 63104(314) 977-4440(314) 977-1877 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Kevin R Mahoney Md NPPES

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

KEVIN R MAHONEY MD (NPI 1386745115) is an individual trauma surgery provider in Saint Louis, Missouri, licensed in Missouri (2007020558) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1386745115

Entity TypeIndividualMale

Primary Taxonomy2086S0127X

Provider Legal NameKEVIN R MAHONEYCredential: MD

Location Address1225 S GRAND BLVD, LEVEL 2Saint Louis, MO 63104-1016

Mailing Address1008 S Spring Ave Ste 1615Saint Louis, MO 63110-2520 · (314) 977-4717 · Fax (314) 977-1877

Phone(314) 977-4440

Fax(314) 977-1877

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1386745115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0127X

License✔ Licensed in MO · 2007020558

Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 43940 (WI)

Also ListedSurgeryTaxonomy 208600000X · License 43940 (WI)

1225 S GRAND BLVD, Saint Louis, MO 63104

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Secondary Practice Location 1

Location 1915 N Grand AveSaint Louis, MO 63106 · Phone (314) 652-4100

Other Identifiers 2

Medicaid34148300WI

Medicaid208544213MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin R Mahoney Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Kevin Mahoney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care Group

Same address

Internal Medicine

1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104

Reassigned Medicare billing, Missouri enrollment
1,294 clinicians in this Medicare group

NPI 1306589544 (314) 977-6100

Ssm Cardinal Glennon Childrens Hospital

13 mi

Pediatrics

2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
414 clinicians in this Medicare group

NPI 1073568226 (314) 268-4070

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

41 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services14 patients

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.

81.57/100

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

Scored as part of a group practice

Quality

76.09

Promoting Interoperability

100

Improvement Activities

Cost

54.28

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.

DR. MATTHEW RUSSELL SMEDS MD

Surgery (Vascular Surgery)