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MR. THOMAS J MCMAHON APRN, PMHNP-BC
NPI 1992395016
Nurse Practitioner - Psychiatric/Mental Health in Hamilton, OH

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment
820 S MARTIN LUTHER KING JR BLVD, HAMILTON, OH 45011(513) 887-8500(513) 737-8196 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2022, Feb 10, 2021, Jan 22, 2021 (3 updates tracked since 2021).

About Mr. Thomas J Mcmahon Aprn, Pmhnp-bc NPPES

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

MR. THOMAS J MCMAHON APRN, PMHNP-BC (NPI 1992395016) is an individual psychiatric/mental health provider in Hamilton, Ohio, licensed in Ohio (APRN.CNP.0028257) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992395016
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. THOMAS J MCMAHONCredential: APRN, PMHNP-BC
Location Address820 S MARTIN LUTHER KING JR BLVDHamilton, OH 45011-3216
Mailing Address820 S Martin Luther King Jr BlvdHamilton, OH 45011-3216 · (513) 887-8500 · Fax (513) 737-8196
Phone(513) 887-8500
Fax(513) 737-8196
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 22, 2021
Last NPPES UpdateMay 10, 20223 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
✔ NPI 1992395016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0028257
820 S MARTIN LUTHER KING JR BLVD, Hamilton, OH 45011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas J Mcmahon Aprn, Pmhnp-bc 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 ID143635672
PECOS Enrollment IDI20210216001222
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.

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.

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.
117 services27 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
32 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45011 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

YVETTE LAMPLEY QMHS
Case Manager/Care Coordinator
820 S MARTIN LUTHER KING JR BLVD
HAMILTON, OH 45011
Butler County (513) 887-8500
KATHARINE TURNER CDCA
Counselor
820 S MARTIN LUTHER KING JR BLVD
HAMILTON, OH 45011
Butler County (513) 887-8500
DR. PAUL JEFFREY SCHWARTZ M.D.
Psychiatry & Neurology (Psychiatry)
820 S MARTIN LUTHER KING JR BLVD
HAMILTON, OH 45011
Butler County (513) 868-5142
JOSHUA SAMS
Case Manager/Care Coordinator
820 S MARTIN LUTHER KING JR BLVD
HAMILTON, OH 45011
Butler County (513) 887-8500
LINDSEY JO BAKER LCDCII
Counselor
820 S MARTIN LUTHER KING JR BLVD
HAMILTON, OH 45011
Butler County (513) 887-8500
LESLIE LITMON LICDC, CT
Counselor (Professional)
820 S MARTIN LUTHER KING JR BLVD
HAMILTON, OH 45011
Butler County (513) 887-8500
CHAUNDRA HORNSBY
Counselor
820 S MARTIN LUTHER KING JR BLVD
HAMILTON, OH 45011
Butler County (513) 887-8500
COMMUNITY BEHAVIORAL HEALTH, INC.
Counselor (Mental Health)
820 S MARTIN LUTHER KING JR BLVD
HAMILTON, OH 45011
Butler County (513) 887-8500

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 Thomas Mcmahon's NPI number?

The NPI number for Thomas Mcmahon is 1992395016. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Thomas Mcmahon located?

Thomas Mcmahon practices at 820 S Martin Luther King Jr Blvd, Hamilton, OH 45011. The listed phone number is (513) 887-8500.

What is Thomas Mcmahon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Thomas Mcmahon enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Mcmahon accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Providence Health Plan list Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Mcmahon was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.