Dallas Mullock, D.O.
NPI 1134504012ActiveIndividual· Family Medicine· Maryville, MO
Family Medicine (D.O.) in Maryville, Missouri, trained at At Still University of Health Sciences, College of Osteo Med, Kirksville (class of 2015). Their prescriptions cost Medicare Part D more than their services did: $367,292 for 3,945 claims, against $103,282 paid for services in 2024. Kvk-Tech, Inc. was the largest of 7 companies reporting payments in 2025, $272.47 in all, mostly food and beverage.
Overview
| NPI | 1134504012 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jul 21, 2015 |
| Last updated in NPPES | May 21, 2020 |
| Certified by provider | May 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 2015023403 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 197 |
|---|---|
| Services billed | 2,832 across 98 procedure codes |
| Paid by Medicare | $103,282 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,945 · 7,614 30-day fills |
|---|---|
| Patients | 170 |
| Total drug cost | $367,292 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | At Still University of Health Sciences, College of Osteo Med, Kirksville |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Hospital affiliations
- Cameron Regional Medical CenterCameron, MO
- Clarinda Regional Health CenterClarinda, IA
- Mosaic Life Care at St JosephSaint Joseph, MO
- Mosaic Medical Center - MaryvilleMaryville, MO
- Mosaic Medical Center AlbanyAlbany, MO
Other facilities
- Community Home Health and Restorative CareHome health agency · Mound City, MO
- Aseracare HospiceHospice · Savannah, MO
- Nodaway HealthcareNursing home · Maryville, MO
Industry payments (Open Payments)
- 2025$272.47 · 11 payments from 7 companies
- 2024$170.26 · 9 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kvk-Tech, Inc. | $70.18 | 1 |
| Abbvie Inc. | $61.86 | 3 |
| Amgen Inc. | $59.13 | 3 |
| Lilly USA, LLC | $22.37 | 1 |
| Astellas Pharma US Inc | $21.14 | 1 |
What the 2025 payments were for
- Food and Beverage$272.47 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Maryville
- 1124633995
- 1225310204
- 1043212228
- 1316941180
- 1669476354
- 1275854465
- 1689639619
- 1225032923
- 1295791366
- 1669477972
- 1922035070
- 1023687217