DR. DAVID ALAN MULLEN (D.O.) – Family Medicine Physician, NPI 1891760237

DR. DAVID ALAN MULLEN (D.O.) is a healthcare provider. based in Bonne terre, Missouri. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 36676 (MO). The NPI Number for DR. DAVID ALAN MULLEN (D.O.) is 1891760237

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID ALAN MULLEN (D.O.)
NPI
1891760237
Phone
(573) 358-3343
Address
30 N ALLEN ST
Enumeration Date
21 February 2006
Last Update Date
22 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734385451
Graduation Year
1984 (42 years ago)
PAC ID
6507762226
Group Practice PAC ID
0648588541
Professional Enrollment ID
I20031211000760
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DAVID ALAN MULLEN (D.O.)

  • 30, North Allen Street, The Lead Belt, Bonne Terre, Saint Francois County, Missouri, 63628, United States

    BONNE TERRE, MO 636281210

    Phone: (573) 358-3343

    Fax: (573) 358-5458

    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 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-08-15 • Largest payer in this snapshot: ABBVIE INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$13
View all Open Payments →|Open Payments Risk Radar →

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: 2003-12-11

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031211000760IFamily PracticeMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63628)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648588541View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeMO
Family Practice, Emergency MedicineIN
Emergency MedicineMO
Emergency Medicine, Family PracticeMO
Emergency MedicineMO
Emergency Medicine, Pediatric MedicineMO
Family PracticeMO
-MO
Nurse PractitionerMO
-MO

Reviews

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Frequently asked questions

How is DR. DAVID ALAN MULLEN (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. DAVID ALAN MULLEN (D.O.) with NPI 1891760237.
Can I rely on DR. DAVID ALAN MULLEN (D.O.) being an active provider?
As of the registry snapshot, DR. DAVID ALAN MULLEN (D.O.) is marked active.
What is DR. DAVID ALAN MULLEN (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. DAVID ALAN MULLEN (D.O.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DAVID ALAN MULLEN (D.O.)?
DR. DAVID ALAN MULLEN (D.O.)'s geographic hint is Bonne Terre, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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