KRISTOFER J. MITCHELL (M.D.) – Surgery Physician, NPI 1205040664

KRISTOFER J. MITCHELL (M.D.) is a healthcare provider. based in Springfield, Illinois. specializing in CRITICAL CARE (INTENSIVISTS), GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 036120394 (IL). The NPI Number for KRISTOFER J. MITCHELL (M.D.) is 1205040664

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
KRISTOFER J. MITCHELL (M.D.)
NPI
1205040664
Phone
(217) 528-7541
Address
1025 S 6TH ST
Enumeration Date
9 May 2007
Last Update Date
31 January 2022

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8012687111
Graduation Year
2002 (24 years ago)
PAC ID
0648342600
Group Practice PAC ID
3476904442
Professional Enrollment ID
I20140305001054
Address ID
UT841241300SA1200X3900300

Contacts

Secure Messaging
kmitchell47787@epicmtn.hcadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

955 CRITICAL CARE (INTENSIVISTS) in IL

Loading map...

Provider Addresses for KRISTOFER J. MITCHELL (M.D.)

  • 1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States

    SPRINGFIELD, IL 627032403

    Phone: (217) 528-7541

    Type: Mailing

  • 800, North 1st Street, Springfield, Sangamon County, Illinois, 62702, United States

    SPRINGFIELD, IL 627023719

    Phone: (217) 528-7541

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $994.

Total Amount is formed as General ($994) + Research ($0) + Ownership ($0) = $994.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($723).

Total Amount

$994

General + Research + Ownership

Payments

7

Total payment records

General Amount

$994

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140305001054ICritical Care (Intensivists)UTTBD
I20170330001306IGeneral SurgeryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes233132$0
99291Critical care, first 30-74 minutes14674$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8989$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8353$0
99239Hospital discharge day management, more than 30 minutes5959$0
View full utilization report →

Insurance plans in this area (ZIP 62703)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476904442View full group profile
NameSpecialtyState
Physician AssistantUT
General SurgeryMN
General SurgeryUT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for KRISTOFER J. MITCHELL (M.D.) in the U.S.?
In the U.S., KRISTOFER J. MITCHELL (M.D.) is identified by NPI 1205040664.
Should I treat KRISTOFER J. MITCHELL (M.D.) as an active provider?
Patients and plans typically see KRISTOFER J. MITCHELL (M.D.) as active in the national extract.
Which specialty label fits KRISTOFER J. MITCHELL (M.D.)?
NPPES ties KRISTOFER J. MITCHELL (M.D.) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KRISTOFER J. MITCHELL (M.D.) in Springfield, Illinois?
For routing, start with Springfield, Illinois for KRISTOFER J. MITCHELL (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

JOHN P SUTYAK (M.D.)

Surgical Critical Care Physician
PO BOX 19663
NPI: 1679569172
2901, Old Jacksonville Road, Springfield, Sangamon County, Illinois, 62704, United States
NPI: 1467441550

SAJIDA AHAD (M.D.)

Surgery Physician
421, North 9th Street, Springfield, Sangamon County, Illinois, 62702, United States
NPI: 1326024837

DAVID J REA (M.D.)

Surgery Physician
315 W Carpenter St
NPI: 1245218692

JARROD C WALL (MD)

Surgical Critical Care Physician
PO BOX 19663
NPI: 1184695520
800 E Carpenter St
NPI: 1588610539

ROBERT C RUSSELL (M.D.)

Plastic and Reconstructive Surgery Physician
Heartland Plastic Surgery, 320, East Carpenter Street, Springfield, Sangamon County, Illinois, 62702, United States
NPI: 1700823879
Springfield Post Office, Fortunestown Shopping Centre, Tallaght-Fettercairn DED 1986, Tallaght, South Dublin, County Dublin, Leinster, D24 EP20, Ireland
NPI: 1366486771

LISA A KOWALSKI (M.D.)

Surgery Physician
Sixth Avenue, Fiberloid, Springfield, Hampden County, Massachusetts, 01152, United States
NPI: 1295766772