MATTHEW MITCHELL (MD) – Plastic and Reconstructive Surgery Physician, NPI 1164955761
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
126 PLASTIC AND RECONSTRUCTIVE SURGERY in IN
Provider Addresses for MATTHEW MITCHELL (MD)
545 BARNHILL DR
EMERSON HALL 232
INDIANAPOLIS, IN 462025112
Phone: (317) 278-0394
Type: Mailing
545 BARNHILL DR STE 232
INDIANAPOLIS, IN 462025112
Phone: (317) 278-0394
Type: Location
209 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 320826600
Phone: (904) 273-6200
Type: Mailing
Madison Avenue, Beale Street Historic District, Memphis, Shelby County, Tennessee, 38104, United States
SUITE 315
MEMPHIS, TN 381033403
Phone: (901) 448-1350
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $922.
Total Amount is formed as General ($922) + Research ($0) + Ownership ($0) = $922.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: ABBVIE INC. ($876).
Total Amount
$922
General + Research + Ownership
Payments
9
Total payment records
General Amount
$922
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $876 |
| MOTIVA USA, LLC | $30 |
| Olympus America Inc. | $16 |
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: 2024-09-25
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 |
|---|---|---|---|---|
| I20240925002899 | I | Plastic And Reconstructive Surgery | FL | 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 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Plastic And Reconstructive Surgery | FL | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | FL | |
| Plastic And Reconstructive Surgery | WA | |
| Plastic And Reconstructive Surgery, Hand Surgery | FL | |
| - | FL | |
| Plastic And Reconstructive Surgery | FL |
Reviews
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