MR. RICHARD L MITTAN PA-C
NPI 1215446919
Physician Assistant in Odessa, TX
About Mr. Richard L Mittan Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RICHARD L MITTAN PA-C (NPI 1215446919) is an individual physician assistant in Odessa, Texas and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Richard L Mittan Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79765 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ODESSA, TX 79765
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 Richard Mittan's NPI number?
The NPI number for Richard Mittan is 1215446919. It was assigned to this individual provider in the NPPES registry on September 25, 2017.
Where is Richard Mittan located?
Richard Mittan practices at 4040 Medical Park Dr, Odessa, TX 79765. The listed phone number is (432) 333-6603.
What is Richard Mittan's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Richard Mittan enrolled in Medicare?
Yes. Richard Mittan 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.
What insurance does Richard Mittan accept?
Health plans from Blue Cross and Blue Shield of Texas list Richard Mittan 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 Richard Mittan was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mr. Richard L Mittan, PA-C · NPI 1215446919
Physician Assistant physician in Odessa, Texas. Individual provider, active in the CMS NPPES registry since September 25, 2017.
## Identity
- **NPI:** 1215446919 (Entity type: Individual)
- **Enumerated:** September 25, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4040 MEDICAL PARK DR, Odessa, TX 79765-2233
- **Phone:** (432) 333-6603 · **Fax:** (432) 333-8014
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Wake Forest University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** June 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215446919) · Data from the CMS NPPES public registry.