DR. JOHN W MITCHELL MD
NPI 1417975186
Specialist in Auburn, AL

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
84.09/100
CMS Quality Rating
2375 CHAMPIONS BLVD, AUBURN, AL 36830(334) 321-3700(334) 887-7475 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John W Mitchell Md NPPES

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

DR. JOHN W MITCHELL MD (NPI 1417975186) is an individual specialist in Auburn, Alabama, licensed in Alabama (11981) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1980).

NPPES Registry Identity

NPI1417975186
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOHN W MITCHELLCredential: MD
Location Address2375 CHAMPIONS BLVDAuburn, AL 36830-6471
Mailing AddressPo Box 2145Opelika, AL 36803-2145 · (334) 321-3700 · Fax (334) 887-7475
Fax(334) 887-7475
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1980
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 25, 2014
NPI 1417975186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AL · 11981
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2375 CHAMPIONS BLVD, Auburn, AL 36830

Other Identifiers 3

Medicare UPINC71728AL
Other51542690AL · Blue Cross Blue Shield
Medicare PIN510I060001AL

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

Dr. John W 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.

PECOS PAC ID4981657236
PECOS Enrollment IDI20050225000691, I20230407001555
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.

Areas of Expertise CMS Part B claims 52

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
418 services375 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
332 services298 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
324 services295 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
318 services109 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
270 services150 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
244 services209 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.52
Improvement Activities40
Cost68.95

Reported Quality Measures

Advance Care Plan
16%2,258 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
25%130 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
47%1,886 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
90%71 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
95%754 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
86%6,099 patients4/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
96%25 patients4/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
100%22 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%4,106 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%3,330 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 6% · 1,252 patients
6%1,252 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%2,415 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,046 patients
Patients totalRate: 0% · 2,046 patients
0%2,046 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.64 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers35 claims35 services$92.50 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier17 claims17 services$24.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
2375 CHAMPIONS BLVD
AUBURN, AL 36830
Obstetrics & Gynecology
2375 CHAMPIONS BLVD
AUBURN, AL 36830
Clinic/Center (Medical Specialty)
2375 CHAMPIONS BLVD
AUBURN, AL 36830
Nurse Practitioner (Primary Care)
2375 CHAMPIONS BLVD
AUBURN, AL 36830
Obstetrics & Gynecology
2375 CHAMPIONS BLVD
AUBURN, AL 36830
Obstetrics & Gynecology
2375 CHAMPIONS BLVD
AUBURN, AL 36830
Obstetrics & Gynecology
2375 CHAMPIONS BLVD
AUBURN, AL 36830
Internal Medicine
2375 CHAMPIONS BLVD
AUBURN, AL 36830

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 John Mitchell's NPI number?

The NPI number for John Mitchell is 1417975186. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is John Mitchell located?

John Mitchell practices at 2375 Champions Blvd, Auburn, AL 36830. The listed phone number is (334) 321-3700.

What is John Mitchell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Mitchell enrolled in Medicare?

Yes. John 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.

What insurance does John Mitchell accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list John 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 John Mitchell was last updated on July 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.