MATTHEW GLENN MULLINIX – Physician Assistant, NPI 1245461151
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
Provider Addresses for MATTHEW GLENN MULLINIX
2441 BABY BELL DR
NORTH POLE, AK 997058406
Phone: (210) 563-3085
Type: Mailing
1/24 INFANTRY BATTALION
FORT WAINWRIGHT, AK 99703
Phone: (210) 563-3085
Type: Location
400 W 7TH ST
FREDERICK, MD 217014506
Phone: (240) 566-3500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($20).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $20 |
| ABBVIE INC. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131206001226 | I | Physician Assistant | MD | TBD |
| I20241223002519 | I | Physician Assistant | OK | TBD |
| I20241224001095 | I | Physician Assistant | IL | TBD |
| I20241226000432 | I | Physician Assistant | DC | TBD |
| I20250131000372 | I | Physician Assistant | CO | TBD |
| I20250225001021 | I | Physician Assistant | PA | TBD |
| I20250407001972 | I | Physician Assistant | TX | TBD |
| I20250414000531 | I | Physician Assistant | KY | TBD |
| I20250703001541 | I | Physician Assistant | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 277 | 258 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 198 | 174 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 198 | 195 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 26 | 25 | $0 |
| 99291 | Critical care, first 30-74 minutes | 22 | 21 | $0 |
Insurance plans in this area (ZIP 99705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | PA | |
| Emergency Medicine | MD | |
| Emergency Medicine | MI | |
| Emergency Medicine | NJ | |
| Emergency Medicine | PA | |
| Emergency Medicine | PA | |
| Emergency Medicine | CA | |
| Internal Medicine | MA | |
| Physician Assistant | MD |
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