DR. MARK EDWARD MCMELLEN (M.D.) – Surgery Physician, NPI 1053597955
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
785 GENERAL SURGERY in MO
Provider Addresses for DR. MARK EDWARD MCMELLEN (M.D.)
3635 Vista Ave
Dept. of Surgery
Saint Louis, MO 631102539
Phone: (314) 577-8317
Type: Location
560, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SAINT LOUIS, MO 631418261
Phone: (314) 251-6440
Fax: (314) 251-4456
Type: Mailing
11600 W SECOND PL
TRAUMA DEPT.
LAKEWOOD, CO 80228
Phone: (314) 251-6440
Fax: (314) 251-4456
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $170.
Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Stryker Corporation ($138).
Total Amount
$170
General + Research + Ownership
Payments
3
Total payment records
General Amount
$170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $138 |
| Boston Scientific Corporation | $19 |
| Intuitive Surgical, Inc. | $13 |
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: 2020-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160714001802 | I | General Surgery | MO | TBD |
| I20200629002219 | I | General Surgery | CO | 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 | 217 | 163 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 82 | 82 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 45 | 44 | $0 |
| 99291 | Critical care, first 30-74 minutes | 19 | 11 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CA | |
| General Surgery | PA | |
| General Surgery | OK | |
| Vascular Surgery, Thoracic Surgery, General Surgery | MI | |
| Orthopedic Surgery | NY | |
| Physician Assistant | VA | |
| Nurse Practitioner | MI | |
| Orthopedic Surgery | CA | |
| - | CA | |
| - | CA |
Reviews
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