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DR. BRIAN A MAILEY M.D.
NPI 1376717603
Surgery - Plastic and Reconstructive Surgery in Springfield, IL

Active since April 17, 2008PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
747 N RUTLEDGE ST, 3RD FLOOR, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-2588 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2026, Nov 4, 2020, Jun 27, 2018 (3 updates tracked since 2018).

About Dr. Brian A Mailey M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN A MAILEY M.D. (NPI 1376717603) is an individual plastic and reconstructive surgery provider in Springfield, Illinois, licensed in Missouri (2022023885) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Mosaic Life Care At St Joseph, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1376717603
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. BRIAN A MAILEYCredential: M.D.
Location Address747 N RUTLEDGE ST, 3RD FLOORSpringfield, IL 62702
Mailing AddressPo Box 19653Springfield, IL 62794-9653 · (217) 545-8000 · Fax (217) 545-2588
Phone(217) 545-8000
Fax(217) 545-2588
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 17, 2008
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1376717603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in MO · 2022023885✔ Licensed in IL · 036-138547
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X · License 036-138547 (IL)
747 N RUTLEDGE ST, Springfield, IL 62702
Open in Google Maps ↗

Other Identifiers 1

Medicaid036138547IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian A Mailey M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385780980
PECOS Enrollment IDI20220823004041
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260006
Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN HENRY M.D.
Obstetrics & Gynecology
747 N RUTLEDGE ST, 2ND FLOOR
SPRINGFIELD, IL 62702
Sangamon County (217) 757-7932
FRANCES TANGHERLINI LEE M.D.
Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
HEALTHCARE NETWORK ASSOCIATES
Obstetrics & Gynecology
747 N RUTLEDGE ST, BAYLIS BUILDING, 2ND FLOOR
SPRINGFIELD, IL 62702
Sangamon County (217) 757-7932
MICHAEL HYUN-OOK KIM MD
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST, 5TH FLOOR
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MELINDA K ISAACS RPH
Pharmacist
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 523-0846
DR. MOHAMED RAFA LABEDI MD
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
SARA KEBEDE MD, MSCR
Plastic Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-6112
DR. KATIE MCGLONE MD
Plastic Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-6112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Mailey's NPI number?

The NPI number for Brian Mailey is 1376717603. It was assigned to this individual provider in the NPPES registry on April 17, 2008.

Where is Brian Mailey located?

Brian Mailey practices at 747 N Rutledge St 3rd Floor, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Brian Mailey's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Brian Mailey enrolled in Medicare?

Yes. Brian Mailey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Mailey accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Brian Mailey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Mailey affiliated with any hospitals?

According to CMS data, Brian Mailey is affiliated with Mosaic Life Care At St Joseph, Ssm Health St Mary's Hospital - St Louis, Ssm Health Saint Louis University Hospital and Barnes-Jewish St Peters Hospital.

When was this NPI record last updated?

The NPPES record for Brian Mailey was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.