JACQUELINE MCMAHON D.O
NPI 1407234362
Family Medicine in Lindenhurst, NY

Q: What is Jacqueline Mcmahon's NPI number?

The NPI number for Jacqueline Mcmahon is 1407234362. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Q: What is Jacqueline Mcmahon's specialty?

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

Active since May 12, 2015PECOS Enrolled

290 SUNRISE HWY, LINDENHURST, NY 11757(631) 226-3600(631) 226-3607 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jacqueline Mcmahon D.o NPPES

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

JACQUELINE MCMAHON D.O (NPI 1407234362) is an individual family medicine provider in Lindenhurst, New York, licensed in New York (292374) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Islip.

NPPES Registry Identity

NPI1407234362

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJACQUELINE MCMAHONCredential: D.O

Location Address290 SUNRISE HWYLindenhurst, NY 11757-2520

Mailing Address290 Sunrise HwyLindenhurst, NY 11757-2520 · (631) 226-3600 · Fax (631) 226-3607

Phone(631) 226-3600

Fax(631) 226-3607

Sole ProprietorNo

Enumeration DateMay 12, 2015

Last NPPES UpdateSeptember 11, 2023

NPPES CertifiedFebruary 4, 2022

✔ NPI 1407234362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 292374

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.

290 SUNRISE HWY, Lindenhurst, NY 11757

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Secondary Practice Location 1

Location 11000 Montauk HwyWest Islip, NY 11795-4927 · Phone (631) 376-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Mcmahon D.o 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 Reassignment

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

Provider Profile

Same address

Family Medicine

290 SUNRISE HWY
Lindenhurst, NY 11757

Reassigned Medicare billing, New York enrollment
2 clinicians in this Medicare group

NPI 1164517413 (631) 226-3600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11757 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers11 claims31 services$5.75 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers11 claims14 services$1.13 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 5

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

HEATHER M RIBAUDO RPA-C

Physician Assistant (Medical)