BRENNAN MALHAM (PA-C) – Physician Assistant, NPI 1942758081
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for BRENNAN MALHAM (PA-C)
45 NORTHBROOK CIR
APARTMENT 33
FAIRVIEW HEIGHTS, IL 622085300
Phone:
Type: Mailing
Alton Memorial Hospital, 1, Memorial Drive, Alton, Madison County, Illinois, 62002, United States
ALTON, IL 620026722
Phone: (618) 463-7474
Type: Location
1 Memorial Dr
Alton, IL 620026722
Phone: (618) 463-7474
Type: Location
1301 S KOKE MILL RD
SPRINGFIELD, IL 627119252
Phone: (217) 547-9100
Fax: (217) 547-9236
Type: Mailing
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: 2017-03-14
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 |
|---|---|---|---|---|
| I20170314000361 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 63 | 63 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 62 | 31 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 49 | 49 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 25 | 24 | $0 |
| 81003 | Automated urinalysis test | 22 | 21 | $0 |
Insurance plans in this area (ZIP 62208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | IL | |
| - | IL | |
| - | IL | |
| P O D I A T R Y | WI | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Nurse Practitioner | IL | |
| Orthopedic Surgery | MI |
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