David Alan Mullen, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36676 Issued in MO

Practice address

30 N Allen St
Bonne Terre, MO 63628-1210

Phone

(573) 358-3343

Fax

(573) 358-5458

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 13

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

Merit-based Incentive Payment System (MIPS)

Final score

67.5 of 100Reported as group

Quality

53.06

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.mullen.1@16878.direct.athenahealth.com

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.

• Iron County Hospital District

  • Critical Access Hospital
  • Pilot Knob, MO
  • NPI 1477648178
  Medicare reassignment NPD
• Potosi Emergency Group, LLC

  • Emergency Medicine Physician
  • Potosi, MO
  • NPI 1881075349
  Medicare reassignment NPD
• Bonne Terre Medical Associates, P.C.

  • Primary Care Clinic/Center
  • Bonne Terre, MO
  • NPI 1366521429
  NPD (past) Authorized official
• Iron County Hospital District

  • Rural Health Clinic/Center
  • Pilot Knob, MO
  • NPI 1073799367
  NPD
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Farmington, MO
  • NPI 1396760062
  NPD (past)
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Bonne Terre, MO
  • NPI 1952326621
  NPD (past)
• Bonne Terre Health Clinic LLC

  • Rural Health Clinic/Center
  • Bonne Terre, MO
  • NPI 1104071935

  Family Medicine

  NPD (past)
• Inpatient Consultants of Missouri Inc

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1194779579
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1891760237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N ALLEN ST",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281210",
            "telephone_number": "573-358-3343",
            "fax_number": "573-358-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N ALLEN ST",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281210",
            "telephone_number": "573-358-3343",
            "fax_number": "573-358-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "36676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTH PLAN",
            "identifier": "325136",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242084929",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4393019",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLAN",
            "identifier": "A10298",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080123004",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE PLUS",
            "identifier": "700678",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0130012",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK, INC.",
            "identifier": "101523",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC.BS OF MO",
            "identifier": "20351",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "367V40311",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMR",
            "identifier": "431815767",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "13015V21878",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST LIFE INS",
            "identifier": "431815767",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Missouri Rehab, LLC
• MJN Chiropractic LLC
• Braylee Montgomery
• Debra Long Morgan, DMD
• Mueller & Spray, LLC
• My Restored Balance LLC
• Nancy Neece, LPC
• New Hope Children and Family Counseling
• Andrew John Ninichuck, M.D.
• North St. Francois Co. R-1 School District

• Family Medicine Physician in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.