DR. ABIGAIL ALAYNE MAHONEY DPM
NPI 1710996103
Podiatrist - Foot & Ankle Surgery in Peoria, IL

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
5017 N GLEN PARK PLACE RD, PEORIA, IL 61614(309) 691-1589(309) 692-2032 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Abigail Alayne Mahoney Dpm NPPES

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

DR. ABIGAIL ALAYNE MAHONEY DPM (NPI 1710996103) is an individual foot & ankle surgery provider in Peoria, Illinois, licensed in Illinois (016005175) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1710996103
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ABIGAIL ALAYNE MAHONEYCredential: DPM
Location Address5017 N GLEN PARK PLACE RDPeoria, IL 61614-4677
Mailing Address5401 N Knoxville Ave, Ste 117Peoria, IL 61614-5068 · (309) 689-8888
Fax(309) 692-2032
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 5, 2006
Last NPPES UpdateSeptember 19, 2016
✔ NPI 1710996103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016005175
5017 N GLEN PARK PLACE RD, Peoria, IL 61614

Other Identifiers 6

Medicare ID-Type UnspecifiedK32173ID
Medicare ID-Type Unspecified732420IL
Medicare UPINK32172IL
Medicare UPINVO3839IL
Medicare ID-Type Unspecified732422IL
Medicaid016005175IL

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. Abigail Alayne Mahoney Dpm 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 ID6204889025
PECOS Enrollment IDI20060127000790
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

2

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

Federally Qualified Health Center (FQHC)
3637 MISSION AVE STE 1-3
Carmichael, CA 95608
  • Reassigned Medicare billing, California enrollment
  • 68 clinicians in this Medicare group
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 3

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

Podiatrist (Foot & Ankle Surgery)
5017 N GLEN PARK PLACE RD
PEORIA, IL 61614
Podiatrist (Foot & Ankle Surgery)
5017 N GLEN PARK PLACE RD
PEORIA, IL 61614
Podiatrist (Foot & Ankle Surgery)
5017 N GLEN PARK PLACE RD
PEORIA, IL 61614

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 Abigail Mahoney's NPI number?

The NPI number for Abigail Mahoney is 1710996103. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Abigail Mahoney located?

Abigail Mahoney practices at 5017 N Glen Park Place Rd, Peoria, IL 61614. The listed phone number is (309) 691-1589.

What is Abigail Mahoney's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Abigail Mahoney enrolled in Medicare?

Yes. Abigail 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 organizations bill Medicare for Abigail Mahoney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abigail Mahoney reassigns Medicare benefits to 2 organizations: Cares Community Health (Carmichael, CA) and Permanente Medical Group Inc (Stockton, CA). 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 Abigail Mahoney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Abigail Mahoney was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.