DR. ERIC J MITCHELL (MD) – Surgery Physician, NPI 1205031036

DR. ERIC J MITCHELL (MD) is a healthcare provider. based in Wyoming, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301090380 (MI). The NPI Number for DR. ERIC J MITCHELL (MD) is 1205031036

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIC J MITCHELL (MD)
NPI
1205031036
Phone
(616) 456-5311
Address
1045 GEZON PKWY SW
Enumeration Date
20 June 2007
Last Update Date
6 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6164565311
Graduation Year
2007 (19 years ago)
PAC ID
8022273531
Group Practice PAC ID
3870583727
Professional Enrollment ID
I20120709000392
Address ID
MI495099542WY1045XSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

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Provider Addresses for DR. ERIC J MITCHELL (MD)

  • 1045, Gezon Parkway Southwest, Wyoming, Kent County, Michigan, 49509, United States

    WYOMING, MI 49509

    Phone: (616) 456-5311

    Fax: (616) 456-7955

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $211.

Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: ABBVIE INC. ($105).

Total Amount

$211

General + Research + Ownership

Payments

3

Total payment records

General Amount

$211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

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: 2012-07-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120709000392IGeneral SurgeryMITBD

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 minutes3520$0
99213Established patient office or other outpatient visit, 20-29 minutes2116$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
93986Complete ultrasound of artery and vein blood flow pre-op assessment on side of body for hemodialysis access1313$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 49509)

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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: 3870583727View full group profile

Reviews

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Frequently asked questions

Is DR. ERIC J MITCHELL (MD) listed with a National Provider Identifier?
Yes — DR. ERIC J MITCHELL (MD) has NPI 1205031036 on file in the registry.
Would DR. ERIC J MITCHELL (MD) appear as active to a payer?
You can treat DR. ERIC J MITCHELL (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. ERIC J MITCHELL (MD)?
At a glance, DR. ERIC J MITCHELL (MD) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. ERIC J MITCHELL (MD) located near Wyoming?
DR. ERIC J MITCHELL (MD) currently maps to Wyoming, Michigan in this extract.
Can I trust this NPI listing for DR. ERIC J MITCHELL (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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