DR. BRIAN A MAILEY (M.D.) – Surgery Physician, NPI 1376717603
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL
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Provider Addresses for DR. BRIAN A MAILEY (M.D.)
PO BOX 19653
SPRINGFIELD, IL 627949653
Phone: (217) 545-8000
Fax: (217) 545-2588
Type: Mailing
747, North Rutledge Street, Springfield, Sangamon County, Illinois, 62702, United States
3RD FLOOR
SPRINGFIELD, IL 62702
Phone: (217) 545-8000
Fax: (217) 545-2588
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 107 Open Payments records for all available years, with a total value of $95,588.
Total Amount is formed as General ($95,588) + Research ($0) + Ownership ($0) = $95,588.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Kerecis Limited ($61,237).
Total Amount
$95,588
General + Research + Ownership
Payments
107
Total payment records
General Amount
$95,588
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $61,237 |
| Integra LifeSciences Corporation | $30,858 |
| AXOGEN | $651 |
| ETS Wound Care LLC | $540 |
| ABBVIE INC. | $395 |
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: 2022-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220823004041 | I | Plastic And Reconstructive Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62794)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Cardiovascular Disease (Cardiology) | MO | |
| Family Practice | MO | |
| Certified Clinical Nurse Specialist (Cns) | MO | |
| Internal Medicine | MO | |
| A N E S T H E S I O L O G Y | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO |
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