DR. JOHN PATRICK MULLALLY (MD) – Family Medicine Physician, NPI 1033105630
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for DR. JOHN PATRICK MULLALLY (MD)
1117, Stone Street, Port Huron, Saint Clair County, Michigan, 48060, United States
SUITE 2
PORT HURON, MI 48060
Phone: (810) 966-4540
Fax: (810) 966-4549
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 205 Open Payments records for all available years, with a total value of $3,345.
Total Amount is formed as General ($3,345) + Research ($0) + Ownership ($0) = $3,345.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($395).
Total Amount
$3,345
General + Research + Ownership
Payments
205
Total payment records
General Amount
$3,345
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $395 |
| Mylan Specialty L.P. | $376 |
| Novo Nordisk Inc | $357 |
| AstraZeneca Pharmaceuticals LP | $268 |
| GlaxoSmithKline, LLC. | $146 |
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: 2010-10-13
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 |
|---|---|---|---|---|
| I20101013000748 | I | Family Practice | MI | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 897 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 533 | 165 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 414 | 175 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 114 | 114 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 93 | 87 | $0 |
Insurance plans in this area (ZIP 48060)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MI | 20610 | Aspiration and/or injection of large joint or joint capsule | 51 | 39 |
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