MICHAEL E MULLIGAN (M.D.) – Family Medicine Physician, NPI 1417953316

MICHAEL E MULLIGAN (M.D.) is a healthcare provider. based in Glen carbon, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036078912 (IL). The NPI Number for MICHAEL E MULLIGAN (M.D.) is 1417953316

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL E MULLIGAN (M.D.)
NPI
1417953316
Phone
(618) 288-5088
Address
3 JUNCTION DR W
Enumeration Date
24 June 2005
Last Update Date
18 May 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
6182888350
Graduation Year
1986 (40 years ago)
PAC ID
9133296247
Group Practice PAC ID
5193792018
Professional Enrollment ID
I20100222000602
Address ID
IL620257784ED3403XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for MICHAEL E MULLIGAN (M.D.)

  • Junction Drive, Glen Carbon, Madison County, Illinois, 62034, United States

    GLEN CARBON, IL 620342916

    Phone: (618) 288-5088

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $563.

Total Amount is formed as General ($563) + Research ($0) + Ownership ($0) = $563.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($164).

Total Amount

$563

General + Research + Ownership

Payments

22

Total payment records

General Amount

$563

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2010-02-22

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
I20100222000602IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes246146$0
99213Established patient office or other outpatient visit, 20-29 minutes176120$0
99215Established patient office or other outpatient visit, 40-54 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 62034)

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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: 5193792018View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
General SurgeryIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
General SurgeryIL
-IL
Family PracticeMO
Family PracticeIL

Reviews

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Frequently asked questions

Can I verify MICHAEL E MULLIGAN (M.D.) with an NPI only?
You can start verification with NPI 1417953316 for MICHAEL E MULLIGAN (M.D.), then check state licensing separately.
Is MICHAEL E MULLIGAN (M.D.) still practicing?
MICHAEL E MULLIGAN (M.D.) is currently listed as active in the public NPI registry.
What is MICHAEL E MULLIGAN (M.D.)'s specialty?
The listing groups MICHAEL E MULLIGAN (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MICHAEL E MULLIGAN (M.D.) based?
MICHAEL E MULLIGAN (M.D.) is tied to Glen Carbon, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about MICHAEL E MULLIGAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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