Active NPI
Scott James Mahon, D.O.
- Diagnostic Radiology Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DO191292
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-9000
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 125062715 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | DO191292 | OR | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Other practice location 1
930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00465572 | Other | IL | MEDICARE RAILROAD/PALMETTO GBA |
| 085002811 | Other | IL | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smahon173966@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Pacific Health Services Inc
Practice addresses (Care Compare)
1046 6TH Ave SW
Albany, OR 97321-1916
Phone (541) 758-5047
1700 Geary St SE
Suite 400
Albany, OR 97322-6842
Phone (541) 812-5655
3043 NE 28TH St
Lincoln City, OR 97367-4518
Phone (541) 994-3661
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 758-5047
3615 NW Samaritan Dr
Suite 101
Corvallis, OR 97330-3756
Phone (541) 768-5187
3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 758-5047
505 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 451-6950
5234 SW Philomath Blvd
Corvallis, OR 97333-1042
Phone (541) 768-7300
525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101
845 SW 30TH St
Corvallis, OR 97331-8629
Phone (541) 768-7700
930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244
Hospital & facility affiliations
- Good Samaritan Regional Medical Center
- Samaritan Pacific Community Hospital
- Samaritan Albany General Hospital
- Samaritan Lebanon Community Hospital
- Samaritan North Lincoln Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.21 of 100
- Quality
- 85.3
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.65 of 100
- Quality
- 86.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.77 of 100
- Quality
- 88.09
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc. | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Corvallis Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Fastrac Medical, P.C. | Past | Accepting new patients | |
| CGH Medical Center | Past | Accepting new patients |
Locations
777 NW 9th St
Ste 210C
Corvallis, OR 97330
Phone (541) 452-8002
3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906
777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769
930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244
Interoperability endpoints
- smahon173966@samhealth.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Corvallis, OR
- NPI 1881651289
-
- Critical Access Hospital
- Newport, OR
- NPI 1801847066
-
- Physical Medicine & Rehabilitation Physician
- Newport, OR
- NPI 1174888010
-
- Rural Health Clinic/Center
- Depoe Bay, OR
- NPI 1164781142
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Emergency Medicine Physician
- Joliet, IL
- NPI 1659517597
Hospital & facility affiliations 74
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, OR
- NPI 1326755158
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, OR
- NPI 1346620408
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1144312943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9000"
}
],
"practiceLocations": [
{
"address_1": "930 SW Abbey St",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "OR",
"postal_code": "973654820",
"country_code": "US",
"telephone_number": "541-265-2244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHON",
"first_name": "SCOTT",
"middle_name": "JAMES",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "125062715",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "DO191292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD/PALMETTO GBA",
"identifier": "P00465572",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "085002811",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smahon173966@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "930 SW Abbey St",
"city": "Newport",
"state": "OR",
"country_code": "US",
"postal_code": "973654820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.