DR. THOMAS A. III MALLISEE (M.D.) – Body Imaging Physician, NPI 1639167042
Body Imaging Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
434 DIAGNOSTIC RADIOLOGY in IA
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Provider Addresses for DR. THOMAS A. III MALLISEE (M.D.)
MercyOne Des Moines Medical Center, 1111, 6th Avenue, Des Moines, Polk County, Iowa, 50314, United States
DES MOINES, IA 503142613
Phone: (515) 643-2667
Fax: (515) 643-2978
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 4 Open Payments records for all available years, with a total value of $272.
Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($272).
Total Amount
$272
General + Research + Ownership
Payments
4
Total payment records
General Amount
$272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Siemens Medical Solutions USA, Inc. | $272 |
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: 2005-12-30
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 |
|---|---|---|---|---|
| I20051230000248 | I | Diagnostic Radiology | IA | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 880 | 880 | $0 |
| 77063 | Screening 3d breast mammography | 875 | 875 | $0 |
| 71045 | X-ray of chest, 1 view | 586 | 505 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 414 | 408 | $0 |
| 70450 | Ct scan head or brain without contrast | 358 | 340 | $0 |
Insurance plans in this area (ZIP 50314)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IA | 71010 | X-ray of chest, 1 view, front | 1134 | 862 |
| DIAGNOSTIC RADIOLOGY | IA | 71250 | CT scan chest | 23 | 23 |
| DIAGNOSTIC RADIOLOGY | IA | 73110 | X-ray of wrist, minimum of 3 views | 22 | 22 |
| DIAGNOSTIC RADIOLOGY | IA | 73562 | X-ray of knee, 3 views | 49 | 45 |
| DIAGNOSTIC RADIOLOGY | IA | 74177 | CT scan of abdomen and pelvis with contrast | 259 | 255 |
| DIAGNOSTIC RADIOLOGY | IA | 76830 | Ultrasound pelvis through vagina | 45 | 45 |
| DIAGNOSTIC RADIOLOGY | IA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 31 | 30 |
| DIAGNOSTIC RADIOLOGY | IA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 46 | 46 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology, Internal Medicine | TX | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IA |
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