Individual provider Active NPI

Brian A Mailey, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Springfield, IL
National Provider Identifier
1376717603
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
2022023885 Issued in MO
Practice address
747 N Rutledge St
3Rd Floor
Springfield, IL 62702
Phone
(217) 545-8000
Fax
(217) 545-2588
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 2022023885 MO Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 036-138547 IL
Surgery Physician 208600000X 036-138547 IL

Addresses

Primary practice location

747 N Rutledge St
3Rd Floor
Springfield, IL 62702

Mailing address

PO Box 19653
Springfield, IL 62794-9653
Phone (217) 545-8000

Other identifiers 1

IdentifierTypeStateIssuer
036138547MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brianmailey@siusm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823004041 MO Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 4385780980 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Consultants, LTD.Group PAC ID 6901858968, 6 clinicians
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

10004 Kennerly Rd
Saint Louis, MO 63128-2109
Phone (314) 272-0864

1225 S Grand Blvd
2L Door 1
Saint Louis, MO 63104-1016
Phone (314) 617-2000

2 Richmond Ctr CT
Saint Peters, MO 63376-5973
Phone (636) 397-2001

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5204 N Belt Hwy Entrance a
Mosaic Life Care
St Joseph, MO 64506-1211
Phone (816) 383-8180

5210 N Belt Hwy
Suite D
Saint Joseph, MO 64506-1211

5210 N Belt Hwy Entrance B
Mosaic Life Care
Saint Joseph, MO 64506-1211
Phone (816) 271-1330

5210 N Belt Hwy Entrance C
Mosaic Life Care
St Joseph, MO 64506-1211
Phone (816) 271-1361

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision12
Removal of tissue20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group Surgery CurrentSince Jul 1, 2022 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
Plastic Surgery Consultants, LTD. CurrentSince Nov 1, 2024 Accepting new patients
Heartland Regional Medical Center CurrentSince Mar 4, 2026 Accepting new patients
Heartland Regional Medical Center Surgery CurrentSince Mar 4, 2026 Accepting new patients
Siu Physicians & Surgeons, Inc Past Accepting new patients
SSM Medical Group Inc. Past Accepting new patients
Cardiac Diagnostic Center LLC Past Accepting new patients

Locations

5204 N Belt Hwy
Ste A
Saint Joseph, MO 64506
Phone (816) 383-8180

10004 Kennerly Rd
Ste 281B
Saint Louis, MO 63128
Phone (314) 272-0864

1027 Bellevue Ave
Ste G25
Saint Louis, MO 63117
Phone (314) 617-3034

1225 S Grand Blvd
#2L
Saint Louis, MO 63104
Phone (314) 977-4700

10004 Kennerly Rd
Ste 283B
Saint Louis, MO 63128
Phone (314) 272-0864

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

2 Richmond Center Ct
Saint Peters, MO 63376
Phone (636) 397-2001

Interoperability endpoints

  • Direct secure messaging: bmailey429516@direct-ehr-ssmhc.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1376717603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19653",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949653",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N RUTLEDGE ST",
            "address_2": "3RD FLOOR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62702",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILEY",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2022023885",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036-138547",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-138547",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036138547",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brianmailey@siusm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "747 N Rutledge St",
            "address_2": "3RD FLOOR",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.