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DR. TERRY MCMAHON M.D.
NPI 1477539757
Psychiatry & Neurology - Psychiatry in Lubbock, TX

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3601 4TH ST, SUITE 1C102, LUBBOCK, TX 79430(806) 743-2800(806) 743-1668 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2019, Nov 22, 2019 (2 updates tracked since 2019).

About Dr. Terry Mcmahon M.d. NPPES

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

DR. TERRY MCMAHON M.D. (NPI 1477539757) is an individual psychiatry provider in Lubbock, Texas, licensed in Texas (F0579) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1477539757
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TERRY MCMAHONCredential: M.D.
Location Address3601 4TH ST, SUITE 1C102Lubbock, TX 79430-0002
Mailing AddressPo Box 5865Lubbock, TX 79408-5865 · (806) 743-2800 · Fax (806) 743-4250
Phone(806) 743-2800
Fax(806) 743-1668
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1976
Enumeration DateDecember 19, 2005
Last NPPES UpdateDecember 30, 20192 updates tracked since enumeration
✔ NPI 1477539757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · F0579
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3601 4TH ST, Lubbock, TX 79430
Open in Google Maps ↗

Secondary Practice Location 1

Location 1301 40th StLubbock, TX 79404-2746 · Phone (806) 743-9355 · Fax (806) 743-9363

Other Identifiers 9

Other80917ZTX · Hmo Blue
OtherA218NM · Triwest
MedicaidV3751NM
Medicaid124688602TX
Other89C398TX · Bc/bs
Medicaid124688604TX
Medicaid119162100TX
Medicaid100088650AOK
Other119162101TX · Firstcare Commercial

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Terry 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 ID6204987795
PECOS Enrollment IDI20090623000512
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

3

Medicare enrollment records show Terry Mcmahon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Tech University Health Sciences Center Lubbock
Same address
Podiatrist
3601 4TH ST
Lubbock, TX 79430
  • Reassigned Medicare billing, Texas enrollment
  • 685 clinicians in this Medicare group
NPI 1538239769 (806) 743-2475
Texas Tech University Health Sciences Center - Son - Lubbock
3.8 mi
Family Medicine
301 40TH ST
Lubbock, TX 79404
  • Reassigned Medicare billing, Texas enrollment
  • 37 clinicians in this Medicare group
NPI 1346348463 (806) 743-9355
Lubbock Regional Mhmr Center
5.1 mi
Clinic/Center
1950 ASPEN AVE
Lubbock, TX 79404
  • Reassigned Medicare billing, Texas enrollment
  • 61 clinicians in this Medicare group
NPI 1992708705 (806) 766-0213

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 3

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 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.
61 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services26 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79430 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

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.

JAMES STEVEN DEMBOWSKI PHD
Speech-Language Pathologist
3601 4TH ST, STE. 2A300
LUBBOCK, TX 79430
Lubbock County (806) 743-5678
CHARLES KIM D.O.
Anesthesiology
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3004
BAILEY WADDINGTON MD
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-6840
SARA SYED AHMED MD
Psychiatry & Neurology (Psychiatry)
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-2800
DR. SAFAA S. LABIB M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, SUITE 1A115
LUBBOCK, TX 79430
Lubbock County (806) 743-2155
MATTHEW PAUL FERGUSON M.D.
Orthopaedic Surgery (Sports Medicine)
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-2475
KORY NOEL HOWELL DO
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3381
JANICE STACHOWIAK M.D.
Internal Medicine
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3150

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 Terry Mcmahon's NPI number?

The NPI number for Terry Mcmahon is 1477539757. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Terry Mcmahon located?

Terry Mcmahon practices at 3601 4th St Suite 1c102, Lubbock, TX 79430. The listed phone number is (806) 743-2800.

What is Terry Mcmahon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Terry Mcmahon enrolled in Medicare?

Yes. Terry 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 organizations bill Medicare for Terry Mcmahon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Mcmahon reassigns Medicare benefits to 3 organizations: Texas Tech University Health Sciences Center Lubbock (Lubbock, TX), Texas Tech University Health Sciences Center - Son - Lubbock (Lubbock, TX) and Lubbock Regional Mhmr Center (Lubbock, TX). Each 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 Terry Mcmahon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terry Mcmahon accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Terry 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 Terry Mcmahon affiliated with any hospitals?

According to CMS data, Terry Mcmahon is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Terry Mcmahon was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.