TOM L JR. MITCHELL (MD) – Ophthalmology Physician, NPI 1013992239
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TOM L JR. MITCHELL (MD)
2752, Zelda Road, Grove Hill, Montgomery, Montgomery County, Alabama, 36107, United States
MONTGOMERY, AL 361062694
Phone: (334) 271-3804
Fax: (334) 270-3375
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-06-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100628000852 | I | Ophthalmology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36106)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | AL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 325 | 299 |
| OPHTHALMOLOGY | AL | 92083 | Measurement of field of vision during daylight conditions | 205 | 197 |
| OPHTHALMOLOGY | AL | 92134 | Diagnostic imaging of retina | 295 | 265 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | AL | |
| O P T O M E T R Y | AL | |
| O P H T H A L M O L O G Y | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL |
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