JOHN RANDOLPH MULLINS (MD) – Vascular Surgery Physician, NPI 1396784377
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
145 VASCULAR SURGERY in MO
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Provider Addresses for JOHN RANDOLPH MULLINS (MD)
PO BOX 505673
SAINT LOUIS, MO 631505673
Phone:
Type: Mailing
3800, South National Avenue, Springfield, Greene County, Missouri, 65804-3705, United States
SPRINGFIELD, MO 658075209
Phone: (417) 875-3000
Fax: (417) 875-3737
Type: Location
Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom
SPRINGFIELD, MO 658089007
Phone: (417) 875-3000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,915.
Total Amount is formed as General ($1,915) + Research ($0) + Ownership ($0) = $1,915.
Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Medline Industries LP ($1,549).
Total Amount
$1,915
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,915
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medline Industries LP | $1,549 |
| W. L. Gore & Associates, Inc. | $171 |
| LeMaitre Vascular, Inc. | $139 |
| Abbott Laboratories | $41 |
| Bard Peripheral Vascular, Inc. | $16 |
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: 2005-08-17
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 |
|---|---|---|---|---|
| I20050817000006 | I | Vascular Surgery | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 23 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 22 | 20 | $0 |
| 22558 | Fusion of lower spine bone through abdomen with partial removal of disc | 21 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 63150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Physical Medicine And Rehabilitation | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| Clinical Psychologist | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| - | MD | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Nurse Practitioner | MO |
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