MATTHEW MITCHELL MD
NPI 1164955761
Surgery - Plastic and Reconstructive Surgery in Saint Augustine, FL
About Matthew Mitchell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW MITCHELL MD (NPI 1164955761) is an individual plastic and reconstructive surgery provider in Saint Augustine, Florida, licensed in Florida (ME159355) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Mitchell Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Mitchell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Augustine, FL 32092
- Reassigned Medicare billing, Florida enrollment
Ponte Vedra Beach, FL 32082
- Reassigned Medicare billing, Florida enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Mitchell's NPI number?
The NPI number for Matthew Mitchell is 1164955761. It was assigned to this individual provider in the NPPES registry on April 10, 2017.
Where is Matthew Mitchell located?
Matthew Mitchell practices at 304 Ashourian Ave Ste 107, Saint Augustine, FL 32092. The listed phone number is (904) 657-4103.
What is Matthew Mitchell's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Matthew Mitchell enrolled in Medicare?
Yes. Matthew Mitchell 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.
Which organizations bill Medicare for Matthew Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mitchell reassigns Medicare benefits to 2 organizations: Saint Johns Plastic Surgery PLLC (Saint Augustine, FL) and Ponte Vedra Plastic Surgery, Inc (Ponte Vedra Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Mitchell accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Matthew Mitchell 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.
When was this NPI record last updated?
The NPPES record for Matthew Mitchell was last updated on June 10, 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.
# Matthew Mitchell, MD · NPI 1164955761
Plastic and Reconstructive Surgery physician in Saint Augustine, Florida. Individual provider, active in the CMS NPPES registry since April 10, 2017.
## Identity
- **NPI:** 1164955761 (Entity type: Individual)
- **Enumerated:** April 10, 2017
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** ME159355 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 304 ASHOURIAN AVE STE 107, Saint Augustine, FL 32092-5110
- **Phone:** (904) 657-4103
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint Johns Plastic Surgery PLLC (NPI 1770427171, Saint Augustine, FL); Ponte Vedra Plastic Surgery, Inc (NPI 1841461100, Ponte Vedra Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164955761) · Data from the CMS NPPES public registry.