MARK J. MITTENTHAL (MD) – Vascular Surgery Physician, NPI 1598739559
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Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MARK J. MITTENTHAL (MD)
1838 AMERICAN WAY
LAWRENCEVILLE, GA 300436611
Phone: (770) 995-7622
Fax: (770) 995-7854
Type: Mailing
Peachtree Dunwoody Road, Atlanta, Georgia, 30328, United States
SUITE 100
ATLANTA, GA 303421786
Phone: (404) 256-0404
Fax: (404) 847-0423
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $384.
Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.
Last reported payment date: 2023-06-12 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($384).
Total Amount
$384
General + Research + Ownership
Payments
2
Total payment records
General Amount
$384
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $384 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 30043)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | GA | 93922 | Ultrasound study of arteries of both arms and legs | 179 | 170 |
| VASCULAR SURGERY | GA | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 15 | 15 |
| VASCULAR SURGERY | GA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 65 | 65 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Internal Medicine | GA | |
| Physician Assistant | FL | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Anesthesiology Assistant | GA | |
| - | CA | |
| D E R M A T O L O G Y | GA | |
| Interventional Radiology, Diagnostic Radiology | NC | |
| Physician Assistant | GA | |
| - | GA |
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