DR. CORNELIUS AVERY MITCHELL (M.D.) – Family Medicine Physician, NPI 1225065345
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for DR. CORNELIUS AVERY MITCHELL (M.D.)
South Chicago Health Center, 9119, South Exchange Avenue, South Chicago, Chicago, Hyde Park Township, Cook County, Illinois, 60617, United States
CHICAGO, IL 606174225
Phone: (773) 768-5000
Type: Mailing
31, West 155th Street, Harvey, Thornton Township, Cook County, Illinois, 60426, United States
HARVEY, IL 604263556
Phone: (708) 596-5177
Fax: (708) 339-3583
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 148 Open Payments records for all available years, with a total value of $2,992.
Total Amount is formed as General ($2,992) + Research ($0) + Ownership ($0) = $2,992.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Organogenesis Inc. ($1,587).
Total Amount
$2,992
General + Research + Ownership
Payments
148
Total payment records
General Amount
$2,992
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $1,587 |
| Smith+Nephew, Inc. | $584 |
| Kerecis Limited | $247 |
| Next Science LLC | $222 |
| Urgo Medical North America, LLC | $168 |
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: 2006-04-19
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 |
|---|---|---|---|---|
| I20060419000102 | I | Family Practice | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 618 | 107 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 408 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 235 | 90 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 165 | 61 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 134 | 55 | $0 |
Insurance plans in this area (ZIP 60617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IL | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | IL | |
| U R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL |
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