DR. GERALD WAYNE MCCLALLEN (D.O.) – Emergency Medicine Physician, NPI 1285686709
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
Provider Addresses for DR. GERALD WAYNE MCCLALLEN (D.O.)
201 S 14th St
Herrin, IL 629483631
Phone: (618) 942-2171
Fax: (618) 351-4917
Type: Location
405 W Jackson St
Carbondale, IL 629011462
Phone: (618) 549-0721
Fax: (618) 457-0469
Type: Location
Carbondale Post Office, Main Street, Carbondale, Osage County, Kansas, 66414, United States
CARBONDALE, IL 629023988
Phone: (800) 457-5200
Type: Mailing
Saint Joseph Memorial Hospital, 2, South Hospital Drive, Murphysboro, Jackson County, Illinois, 62966, United States
MURPHYSBORO, IL 629663333
Phone: (618) 684-3156
Fax: (618) 529-0524
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-04-15
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 |
|---|---|---|---|---|
| I20040415000359 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 68 | 68 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 46 | 43 | $0 |
| 99291 | Critical care, first 30-74 minutes | 26 | 26 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 24 | 24 | $0 |
Insurance plans in this area (ZIP 62948)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IN | |
| Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Emergency Medicine, Emergency Medicine, Internal Medicine | CO | |
| Family Practice | IN | |
| Family Practice, Family Practice, Emergency Medicine, Hospitalist | IN |
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