MR. BYRON ANTONIUS MITCHELL SR. PA-C
NPI 1083910491
Physician Assistant in Kettering, OH

Q: What is Byron Mitchell's NPI number?

The NPI number for Byron Mitchell is 1083910491. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Q: What is Byron Mitchell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Byron Mitchell was last updated on September 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 02, 2011PECOS Enrolled

3535 SOUTHERN BLVD, TRAUMA DEPARTMENT, KETTERING, OH 45429(937) 395-6010(937) 522-7873 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Byron Antonius Mitchell Sr. Pa-c NPPES

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

MR. BYRON ANTONIUS MITCHELL SR. PA-C (NPI 1083910491) is an individual physician assistant in Kettering, Ohio, licensed in Ohio (50003256) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083910491

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. BYRON ANTONIUS MITCHELL SR.Credential: PA-C

Location Address3535 SOUTHERN BLVD, TRAUMA DEPARTMENTKettering, OH 45429

Mailing Address3535 Southern Blvd, Trauma DepartmentKettering, OH 45429-1221 · (937) 395-6010 · Fax (937) 522-7873

Phone(937) 395-6010

Fax(937) 522-7873

Sole ProprietorNo

Enumeration DateFebruary 2, 2011

Last NPPES UpdateSeptember 25, 2013

✔ NPI 1083910491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50003256

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3535 SOUTHERN BLVD, Kettering, OH 45429

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Other Identifiers 3

Other12331601Caqh

Medicare PINH056302OH

Medicaid0085233OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Byron Antonius Mitchell Sr. Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JAMES ALAN BRUCE M.D.

Anesthesiology