MRS. MALLORY JEAN HENSON (PA) – Physician Assistant, NPI 1043856701
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MRS. MALLORY JEAN HENSON (PA)
2 Memorial Dr Ste 102
Alton, IL 620026723
Phone: (618) 288-0900
Fax: (618) 288-0909
Type: Location
3 Saint Elizabeth Blvd Ste 3200
O Fallon, IL 622691281
Phone: (618) 489-8030
Type: Location
326 Fountains Pkwy
Fairview Heights, IL 622082041
Phone: (618) 277-3109
Type: Location
200 CORPORATE BLVD
LAFAYETTE, LA 705083870
Phone: (800) 893-9698
Type: Mailing
6800 STATE ROUTE 162
MARYVILLE, IL 620628521
Phone: (618) 288-5711
Fax: (618) 288-4088
Type: Location
6800 STATE ROUTE 162 STE 200
MARYVILLE, IL 620628521
Phone: (618) 288-0900
Fax: (618) 288-0909
Type: Location
12855 N 40 DR STE 375
SAINT LOUIS, MO 631418657
Phone: (314) 567-6071
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $1,206.
Total Amount is formed as General ($1,206) + Research ($0) + Ownership ($0) = $1,206.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($231).
Total Amount
$1,206
General + Research + Ownership
Payments
41
Total payment records
General Amount
$1,206
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $231 |
| Bayer Healthcare Pharmaceuticals Inc. | $177 |
| Medtronic, Inc. | $167 |
| Boston Scientific Corporation | $159 |
| Janssen Biotech, Inc. | $123 |
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: 2020-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20200305002971 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 185 | 161 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 147 | 90 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 140 | 72 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 112 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 86 | 74 | $0 |
Insurance plans in this area (ZIP 62002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| N E U R O S U R G E R Y | MO | |
| Physician Assistant | OK | |
| N E U R O S U R G E R Y | MO | |
| - | MO | |
| Qualified Audiologist | MO | |
| Nurse Practitioner | MO | |
| U R O L O G Y | MO | |
| Otolaryngology, Plastic And Reconstructive Surgery | MO | |
| Physician Assistant | MO |
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