DR. BARRY MICHAEL MOSSMAN (M.D.) – Internal Medicine Physician, NPI 1053516294

DR. BARRY MICHAEL MOSSMAN (M.D.) is a healthcare provider. based in Alton, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036-120094 (IL). The NPI Number for DR. BARRY MICHAEL MOSSMAN (M.D.) is 1053516294

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. BARRY MICHAEL MOSSMAN (M.D.)
NPI
1053516294
Phone
(618) 474-1723
Address
2 Memorial Dr
Enumeration Date
18 June 2007
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
8224199468
Group Practice PAC ID
3072421254
Professional Enrollment ID
I20240723004665
Address ID
MO631312322SA3009XRDXX400
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness95
Years active:18State licenses:1Other names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. BARRY MICHAEL MOSSMAN (M.D.)

  • 2 Memorial Dr

    Ste 220

    Alton, IL 620026723

    Phone: (618) 474-1723

    Fax: (618) 474-6989

    Type: Location

  • 2 MEMORIAL DR STE 220

    ALTON, IL 620026723

    Phone: (618) 474-1723

    Fax: (618) 474-6988

    Type: Mailing

  • 670, Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States

    STE 300

    SAINT LOUIS, MO 631418573

    Phone: (618) 474-1723

    Fax: (618) 474-6989

    Type: Mailing

  • 2, Memorial Drive, Alton, Madison County, Illinois, 62002, United States

    STE 220

    ALTON, IL 620026723

    Phone: (618) 474-1723

    Fax: (618) 474-6989

    Type: Location

  • 3009 N BALLAS RD STE 390C

    SAINT LOUIS, MO 631312322

    Phone: (314) 996-5900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $1,382.

Total Amount is formed as General ($1,382) + Research ($0) + Ownership ($0) = $1,382.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Lilly USA, LLC ($294).

Total Amount

$1,382

General + Research + Ownership

Payments

72

Total payment records

General Amount

$1,382

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-07-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240723004665IInternal MedicineMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg3,60039$0
99214Established patient office or other outpatient visit, 30-39 minutes527315$0
93793Anticoagulant management of patient taking warfarin34729$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit313313$0
96372Injection of drug or substance under skin or into muscle15249$0
View full utilization report →

Insurance plans in this area (ZIP 62002)

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Provider's Procedures

DR. BARRY MICHAEL MOSSMAN (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL85610Blood test, clotting time36358
INTERNAL MEDICINEIL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report3232

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072421254View full group profile
NameSpecialtyState
-MO
-MO
Family PracticeMO
Hospitalist, Family PracticeMO
Internal MedicineMO
-MO
Family PracticeMO
Internal Medicine, HospitalistMO
Nurse PractitionerMO
Family PracticeMO

Reviews

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Frequently asked questions

Is DR. BARRY MICHAEL MOSSMAN (M.D.) listed with a National Provider Identifier?
Yes — DR. BARRY MICHAEL MOSSMAN (M.D.) has NPI 1053516294 on file in the registry.
Is there an active status for DR. BARRY MICHAEL MOSSMAN (M.D.)?
For scheduling context, DR. BARRY MICHAEL MOSSMAN (M.D.) is shown as active in the registry.
What kind of doctor is DR. BARRY MICHAEL MOSSMAN (M.D.)?
DR. BARRY MICHAEL MOSSMAN (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. BARRY MICHAEL MOSSMAN (M.D.) registered?
Use Alton, Illinois as the headline location for DR. BARRY MICHAEL MOSSMAN (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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