MR. ALAN MICHAEL MEREDITH (PAC) – Physician Assistant, NPI 1053656298
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MR. ALAN MICHAEL MEREDITH (PAC)
6810 STATE ROUTE 162 BOX 215
MARYVILLE, IL 620628501
Phone: (618) 391-6405
Fax: (618) 288-4088
Type: Mailing
PO BOX 776084
CHICAGO, IL 606776084
Phone: (314) 364-7586
Type: Mailing
1551 N IL RT 3
WATERLOO, IL 62298
Phone: (618) 504-5008
Fax: (618) 504-5009
Type: Location
2704 N Center St
Maryville, IL 620625624
Phone: (618) 623-8711
Type: Location
6812 State Route 162
Suite 21
Maryville, IL 62062
Phone: (618) 288-5566
Fax: (618) 288-4005
Type: Location
801 Hazelwest Dr
Hazelwood, MO 630421754
Phone: (314) 919-2700
Type: Location
6812 STATE ROUTE 162
SUITE 21
MARYVILLE, IL 62062
Phone: (618) 288-5566
Fax: (618) 288-4005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $995.
Total Amount is formed as General ($995) + Research ($0) + Ownership ($0) = $995.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Lilly USA, LLC ($291).
Total Amount
$995
General + Research + Ownership
Payments
55
Total payment records
General Amount
$995
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $291 |
| AstraZeneca Pharmaceuticals LP | $187 |
| ABBVIE INC. | $182 |
| Novo Nordisk Inc | $161 |
| Kowa Pharmaceuticals America, Inc. | $37 |
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: 2024-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140128000375 | I | Physician Assistant | IL | TBD |
| I20240621000798 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 121 | 121 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 77 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 71 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 62062)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Internal Medicine | MO | |
| Family Practice | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | MO | |
| - | MO | |
| Physician Assistant | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.