DR. FRANKLIN CORNELIUS MIKELL M.D.
NPI 1568805265
Internal Medicine in Middletown, OH

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
1 MEDICAL CENTER DR, MIDDLETOWN, OH 45005(513) 705-4754(513) 420-5156 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2025, Nov 12, 2024, Jul 23, 2024 and 5 more (8 updates tracked since 2016).

About Dr. Franklin Cornelius Mikell M.d. NPPES

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

DR. FRANKLIN CORNELIUS MIKELL M.D. (NPI 1568805265) is an individual internal medicine provider in Middletown, Ohio, licensed in Ohio (35.128299) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1568805265
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. FRANKLIN CORNELIUS MIKELLCredential: M.D.
Location Address1 MEDICAL CENTER DRMiddletown, OH 45005
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Fax(513) 420-5156
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 11, 2013
Last NPPES UpdateMay 23, 20258 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1568805265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.128299✔ Licensed in IN · 01075697A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 297616 (NY)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 297616 (NY)
Also ListedHospitalistTaxonomy 208M00000X · License 63650 (CT)
1 MEDICAL CENTER DR, Middletown, OH 45005

Secondary Practice Locations 7

Location 11 Akron General AveAkron, OH 44307-2432 · Phone (330) 344-6000
Location 22401 W University AveMuncie, IN 47303-3428 · Phone (765) 747-3064
Location 3267 Grant StBridgeport, CT 06610-2805 · Phone (203) 384-4677 · Fax (203) 384-3135
Location 4746 Jefferson AveScranton, PA 18510-1624 · Phone (570) 770-3415
Location 51373 E State Road 62Madison, IN 47250-7328 · Phone (812) 801-0800
Location 65 Palisades Dr Ste 100Albany, NY 12205-6433 · Phone (518) 438-4496 · Fax (518) 438-5803
Location 72 New Hampshire AveTroy, NY 12180-1764 · Phone (518) 272-0331 · Fax (518) 271-9007

Other Identifiers 2

Medicaid7100585170KY
Medicaid563529IN

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

Dr. Franklin Cornelius Mikell M.d. 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 ID9133361322
PECOS Enrollment IDI20160803000768, I20220926001383, I20250206000392
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.

Medicare Billing Reassignments

14

Medicare enrollment records show Franklin Mikell reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Family Medicine
4870 E JACKSON ST
Muncie, IN 47303
  • Reassigned Medicare billing, Indiana enrollment
  • 635 clinicians in this Medicare group
Family Medicine
1373 E STATE ROAD 62
Madison, IN 47250
  • Reassigned Medicare billing, Indiana enrollment
  • 142 clinicians in this Medicare group
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Indiana enrollment
  • 465 clinicians in this Medicare group
Pulmonary Disease
4551 SPRINGHILL DR
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky and Indiana enrollments
  • Also billed through NPI 1174007132 (Indiana)
  • 144 clinicians in this Medicare group
Critical Care Medicine
3700 WASHINGTON AVE
Evansville, IN 47714
  • Reassigned Medicare billing, Indiana enrollment
  • 34 clinicians in this Medicare group
Hospitalist
420 N CENTER ST
Hickory, NC 28601
  • Reassigned Medicare billing, North Carolina enrollment
  • 51 clinicians in this Medicare group
Critical Care Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 89 clinicians in this Medicare group
Multi-Specialty
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 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.

Areas of Expertise CMS Part B claims 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
45 services45 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.
36 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330224
Location105 Mary's AvenueKingston, NY 12401 · Ulster County
Emergency services Birthing friendly

Vidant Roanoke Chowan Hospital

Acute Care Hospitals · Ahoskie, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340099
Location500 S Academy StAhoskie, NC 27910 · Hertford County
Emergency services Birthing friendly

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC
1/5 CMS rating
OwnershipProprietary
CMS Certification Number340116
Location420 N Center StHickory, NC 28601 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Emergency Medicine
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Internal Medicine
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Hospitalist
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Anesthesiology
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Rehabilitation Unit
1 MEDICAL CENTER DR
FRANKLIN, OH 45005

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 Franklin Mikell's NPI number?

The NPI number for Franklin Mikell is 1568805265. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Franklin Mikell located?

Franklin Mikell practices at 1 Medical Center Dr, Middletown, OH 45005. The listed phone number is (513) 705-4754.

What is Franklin Mikell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Franklin Mikell enrolled in Medicare?

Yes. Franklin Mikell 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 Franklin Mikell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Franklin Mikell reassigns Medicare benefits to 14 organizations: Mvhe, Inc (Middletown, OH), Indiana University Health Ball Memorial Physicians, Inc. (Muncie, IN), Norton - Kings Daughters Health Inc (Madison, IN), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH), Community Medical Associates, Inc. (Louisville, KY) and 9 more organizations, listed in the Medicare section above. 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 Franklin Mikell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Franklin Mikell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare list Franklin Mikell 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.

Is Franklin Mikell affiliated with any hospitals?

According to CMS data, Franklin Mikell is affiliated with Deaconess Hospital Inc, Healthalliance Hospital Marys Avenue Campus, Vidant Roanoke Chowan Hospital and Frye Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Franklin Mikell was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.