WILLIAM A MITCHELL JR. M.D.
NPI 1194791186
Orthopaedic Surgery - Sports Medicine in Wellesley, MA
NPI Status: Active since February 28, 2006
Contact Information
65 WALNUT ST STE 440
WELLESLEY, MA
ZIP 02481
Phone: (781) 235-9089
Fax: (781) 237-5121
- Individual
- Male
- Orthopaedic Surgery
- Sports Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About WILLIAM MITCHELL
This page provides the complete NPI Profile along with additional information for William Mitchell, a provider established in Wellesley, Massachusetts with a medical specialization in Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1194791186 assigned on February 2006. The practitioner's primary taxonomy code is 207XX0005X with license number 52543 (MA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1194791186
- Provider Name
- WILLIAM A MITCHELL JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 65 WALNUT ST STE 440 WELLESLEY, MA 02481
- Location Phone
- (781) 235-9089
- Location Fax
- (781) 237-5121
- Mailing Address
- 65 WALNUT ST SUITE 440 WELLESLEY, MA 02481
- Mailing Phone
- (781) 235-9089
- Mailing Fax
- (781) 237-5121
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-28-2006
- Last Update Date
- 11-20-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 52543
- License State
- MA
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00271550 | OTHER (01) | MA | RAILROAD MEDICARE |
| 172421 | OTHER (01) | MA | HARVARD PILGRIM |
| J03422 | OTHER (01) | MA | BLUE CROSS BLUE SHIELD |
| B77020 | MEDICARE UPIN (02) | MA | |
| 3007561 | MEDICAID (05) | MA | |
| NX057 | MEDICARE PIN (08) | MA | |
| 2438941 | OTHER (01) | MA | AETNA |
| 052543 | OTHER (01) | MA | TUFTS HEALTH PLAN |
| 69218 | OTHER (01) | MA | FALLON COMMUN HEALTH PLAN |
| J03422 | MEDICARE PIN (08) | MA |
Medicare Participation & PECOS Enrollment Status
William Mitchell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 30-44 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 75 times for 42 patientsThis 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.
This service was performed 28 times for 28 patientsMIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 31% | 166 |
| Falls: Screening for Future Fall Risk | 0% | 47 |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 0% | 111 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 45 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 45 |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194791186, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194791186, enumerated as an "individual" on February 28, 2006.
The provider is located at 65 WALNUT ST STE 440 WELLESLEY, MA 02481 and the phone number is (781) 235-9089.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid, Blue Cross. Please consult your insurance carrier or call the provider to verify.
