MICHELLE P MULLIGAN (M.D.) – Family Medicine Physician, NPI 1194721936
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for MICHELLE P MULLIGAN (M.D.)
6810 STATE ROUTE 162
BOX 215
MARYVILLE, IL 62062
Phone: (618) 391-6495
Type: Mailing
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 620257784
Phone: (618) 288-8500
Fax: (618) 288-8501
Type: Location
Junction Drive, Glen Carbon, Madison County, Illinois, 62034, United States
GLEN CARBON, IL 620342916
Phone: (618) 288-5088
Fax: (618) 288-9153
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $673.
Total Amount is formed as General ($673) + Research ($0) + Ownership ($0) = $673.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($180).
Total Amount
$673
General + Research + Ownership
Payments
28
Total payment records
General Amount
$673
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $180 |
| AstraZeneca Pharmaceuticals LP | $164 |
| Exact Sciences Corporation | $76 |
| Amgen Inc. | $46 |
| Lilly USA, LLC | $40 |
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: 2010-02-17
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 |
|---|---|---|---|---|
| I20100217000583 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 75 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 41 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 41 | 37 | $0 |
Insurance plans in this area (ZIP 62062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| General Surgery | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| General Surgery | IL | |
| - | IL | |
| Family Practice | MO | |
| Family Practice | IL |
Reviews
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