PATRICK MITSOS
NPI 1558775122
Dentist - General Practice in Rockford, IL

Q: What is Patrick Mitsos's NPI number?

The NPI number for Patrick Mitsos is 1558775122. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Q: What is Patrick Mitsos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Mitsos was last updated on June 11, 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.

Active since June 11, 2014PECOS Enrolled

5819 E RIVERSIDE BLVD # 21, ROCKFORD, IL 61114(815) 282-4311(815) 282-4315 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Patrick Mitsos NPPES

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

PATRICK MITSOS (NPI 1558775122) is an individual general practice provider in Rockford, Illinois, licensed in Illinois (019029811) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558775122

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NamePATRICK MITSOS

Location Address5819 E RIVERSIDE BLVD # 21Rockford, IL 61114-4963

Mailing Address5819 E Riverside Blvd # 21Rockford, IL 61114-4963 · (815) 282-4311 · Fax (815) 282-4315

Phone(815) 282-4311

Fax(815) 282-4315

Sole ProprietorNo

Enumeration DateJune 11, 2014

✔ NPI 1558775122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019029811

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5819 E RIVERSIDE BLVD # 21, Rockford, IL 61114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Mitsos 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 61114 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAMYA PRAFULBHAI MAKWANA BDS, PGDHHM, DDS

Student in an Organized Health Care Education/Training Program

5819 E RIVERSIDE BLVD # 21
ROCKFORD, IL 61114

Winnebago County (815) 515-4802

AFFORDABLE DENTISTRY TODAY

Dentist (General Practice)

5819 E RIVERSIDE BLVD # 21
ROCKFORD, IL 61114

Winnebago County (815) 282-4311

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 Patrick Mitsos's NPI number?

The NPI number for Patrick Mitsos is 1558775122. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Patrick Mitsos located?

Patrick Mitsos practices at 5819 E Riverside Blvd # 21, Rockford, IL 61114. The listed phone number is (815) 282-4311.

What is Patrick Mitsos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Patrick Mitsos enrolled in Medicare?

Yes. Patrick Mitsos is registered in the Medicare PECOS enrollment system.

What insurance does Patrick Mitsos accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Patrick Mitsos 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 Patrick Mitsos was last updated on June 11, 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.