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DR. MICHAEL J MAHONEY M.D.
NPI 1689782336
Internal Medicine in Clarinda, IA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
220 ESSIE DAVISON DR, CLARINDA, IA 51632(712) 542-2176(712) 542-8397 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2019, Dec 21, 2015 (2 updates tracked since 2015).

About Dr. Michael J Mahoney M.d. NPPES

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

DR. MICHAEL J MAHONEY M.D. (NPI 1689782336) is an individual internal medicine provider in Clarinda, Iowa, licensed in Iowa (31166) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689782336
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL J MAHONEYCredential: M.D.
Location Address220 ESSIE DAVISON DRClarinda, IA 51632-2915
Mailing AddressPo Box 217Clarinda, IA 51632-0217 · (712) 542-2176 · Fax (712) 542-8311
Phone(712) 542-2176
Fax(712) 542-8397
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1993
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
✔ NPI 1689782336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IA · 31166✔ Licensed in NE · 19746
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
220 ESSIE DAVISON DR, Clarinda, IA 51632
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1309 S 5th AveVillisca, IA 50864-1160 · Phone (712) 826-3003 · Fax (712) 826-3043
Location 21207 Madison StBedford, IA 50833-1036 · Phone (712) 523-1146 · Fax (712) 542-6720
Location 3220 Essie Davison Dr # ErClarinda, IA 51632-2915 · Phone (712) 542-2176 · Fax (712) 542-8324

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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. Michael J Mahoney 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 ID5890752067
PECOS Enrollment IDI20041220000544
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 Michael Mahoney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clarinda Regional Health Center
3.6 mi
Family Medicine
220 ESSIE DAVISON DR.
Clarinda, IA 51632
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1255489647 (Iowa), NPI 1366486946 (Iowa)
  • 130 clinicians in this Medicare group
NPI 1629196241 (712) 542-8330

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

Hospital Affiliations CMS Care Compare 4

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

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160047
Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

Clarinda Regional Health Center

Critical Access Hospitals · Clarinda, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161352
Location220 Essie Davison DriveClarinda, IA 51632 · Page County
Emergency services

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161363
Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County
Emergency services

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51632 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 25

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
13 suppliers165 claims271 services$5.51 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers27 claims28 services$0.97 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers22 claims22 services$42.00 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers34 claims34 services$111.46 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers34 claims77 services$42.30 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers23 claims114 services$24.02 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 20

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

RENEE NAUMAN ARNP
Nurse Practitioner (Family)
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Page County (712) 542-2176
DR. ROBERT WILLARD CLEMONS JR. MD
Family Medicine
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Page County (712) 542-2176
JESSICA L DIVINE LMSW
Social Worker (Clinical)
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Page County (712) 542-2176
KATIE BURNS ARNP
Nurse Practitioner
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Page County (712) 542-8330
UROLOGY CENTER, PC
Urology
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Page County (712) 542-8216
MELISA S. BAIER RD, LD
Dietitian, Registered
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Page County (712) 542-2176
CHRISTINA MARIE SOLT DNP, FNP-C
Nurse Practitioner (Family)
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Page County (712) 542-2176
DR. GEORGE WILLIAM RICHARDSON M.D.
Family Medicine
220 ESSIE DAVISON DR
CLARINDA, IA 51632
Page County (712) 542-8330

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 Michael Mahoney's NPI number?

The NPI number for Michael Mahoney is 1689782336. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Michael Mahoney located?

Michael Mahoney practices at 220 Essie Davison Dr, Clarinda, IA 51632. The listed phone number is (712) 542-2176.

What is Michael Mahoney's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Mahoney enrolled in Medicare?

Yes. Michael Mahoney 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 Michael Mahoney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mahoney reassigns Medicare benefits to Clarinda Regional Health Center (Clarinda, IA). 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 Michael Mahoney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mahoney accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Michael Mahoney 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 Michael Mahoney affiliated with any hospitals?

According to CMS data, Michael Mahoney is affiliated with Methodist Jennie Edmundson, Clarinda Regional Health Center, Montgomery County Memorial Hospital and The Nebraska Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Michael Mahoney was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.