Active NPI 1376717603 Individual Practitioner Male Practitioner

Dr. Brian A Mailey , MD

Surgery - Plastic and Reconstructive Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Mailey, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Springfield, IL. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Mailey delivers high-quality medical care to the local community at 747 N RUTLEDGE ST.

Dr. Mailey maintains professional affiliations with Plastic Surgery Consultants, Ltd., Heartland Regional Medical Center, Ssm Health Care Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

747 N Rutledge St
3rd Floor

Springfield, IL 62702

Telephone 2175458000

Fax 2175452588

Associated Practice Facility / Clinic

🏢 Central Illinois Hematology Oncology Center Pc Facility NPI 1750306692

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +2.8 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

10 Specialists

Practicing in Springfield, IL (138 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mailey (21 Years) 21 Yrs

Springfield Specialty Average (18.2 Years) 18.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$168.80	$80.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$392.00	$197.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$200.67	$126.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$296.92	$166.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	43	$392.00	$194.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$303.76	$166.37
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$143.00	$89.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$207.00	$127.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$212.00	$111.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$143.00	$74.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$303.00	$155.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$392.00	$204.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$212.00	$106.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$320.00	$139.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$207.00	$107.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$212.00	$104.87
99213 Established patient office or other outpatient visit, typically 15 minutes	47	39	$143.00	$71.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$303.00	$162.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	31	12	$4.98	$1.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$321.48	$133.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$207.00	$103.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$392.00	$202.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	54	$143.00	$69.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$212.00	$100.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$320.00	$135.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$303.00	$160.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$207.00	$104.30
11100 Biopsy of single growth of skin and/or tissue	13	13	$284.00	$97.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	63	$143.00	$69.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	55	17	$4.00	$1.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$303.00	$155.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	24	$81.00	$41.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$212.00	$104.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$207.00	$103.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$320.00	$135.19
97606 Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm	18	15	$268.00	$26.90
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	13	11	$2941.00	$229.70
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$237.00	$100.59

Medical Specialties & State Licenses

CMS Verified: 2026-04-08

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MO 2022023885

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License IL 036-138547

A surgeon who specializes in plastic and reconstructive surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036-138547

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036138547 (IL)

Hospital & Practice Group Affiliations

Heartland Regional Medical Center

5202 Faraon St, Saint Joseph, MO 645063840

Phone: 8162711067

Plastic Surgery Consultants, Ltd.

10004 Kennerly Rd, Saint Louis, MO 631282109

Phone: 3142720864

Heartland Regional Medical Center

901 Heartland Rd, Saint Joseph, MO 645066201

Ssm Health Care Group

1225 S Grand Blvd, Saint Louis, MO 631041016

Phone: 3146172000

Heartland Regional Medical Center

5325 Faraon St, Saint Joseph, MO 645063488

Phone: 8162713500

Heartland Regional Medical Center

5325 Faraon St, Saint Joseph, MO 645063488

Phone: 8162716870

Plastic Surgery Consultants, Ltd.

2 Richmond Ctr Ct, Saint Peters, MO 633765973

Phone: 6363972001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2026

Surgery (License #2022023885 in MO)

📍

Updated Practice Location June 27, 2018

Registered at 747 N RUTLEDGE ST, 3RD FLOOR, SPRINGFIELD, IL 62702 (Tel: 2175458000)

📍

Updated Business Mailing Address June 27, 2018

Registered at PO BOX 19653, SPRINGFIELD, IL 627949653 (Tel: 2175458000)

✅

NPI Profile Active September 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2015

Registered at 747 N RUTLEDGE ST, 3RD FLOOR, SPRINGFIELD, IL 627026700 (Tel: 2175458000)

📍

Updated Business Mailing Address September 02, 2015

Registered at 747 N RUTLEDGE ST, PO BOX 19653, SPRINGFIELD, IL 627026700 (Tel: 2175458000)

👤

Provider Name / Credentials Updated September 02, 2015

Recorded as BRIAN MAILEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2015

Surgery (License #036-138547 in IL)

🟢

Initial NPI Registration & Enumeration April 17, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376717603

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 17, 2008

Last Update: April 08, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 19653

Springfield, IL 627949653

Phone: 2175458000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.