MITCHELL M. PITLICK (M.D.) – Allergy & Immunology Physician, NPI 1073044574

MITCHELL M. PITLICK (M.D.) is a healthcare provider. based in Rochester, Minnesota. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. 64170 (MN). The NPI Number for MITCHELL M. PITLICK (M.D.) is 1073044574

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MITCHELL M. PITLICK (M.D.)
NPI
1073044574
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
26 March 2017
Last Update Date
28 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
4023911800
Graduation Year
2017 (9 years ago)
PAC ID
1456623180
Group Practice PAC ID
4385610013
Professional Enrollment ID
I20240925001428
Address ID
IA511064710SI4301XRDXX305

Contacts

Secure Messaging
mpitlick139465@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

91 ALLERGY/IMMUNOLOGY in MN

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Provider Addresses for MITCHELL M. PITLICK (M.D.)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 2808 SOUTH 80TH AVENUE

    SUITE 210

    OMAHA, NE 681243253

    Phone: (402) 391-1800

    Fax: (402) 391-1563

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 238 Open Payments records for all available years, with a total value of $5,496.

Total Amount is formed as General ($5,496) + Research ($0) + Ownership ($0) = $5,496.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,541).

Total Amount

$5,496

General + Research + Ownership

Payments

238

Total payment records

General Amount

$5,496

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

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: 2024-09-25

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
I20230803000770IAllergy/ImmunologyNETBD
I20240925001428IAllergy/ImmunologyIATBD

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
95004Test for allergy using allergenic extract83917$0
95117Professional service for multiple injections of allergen12842$0
95115Professional service for single injection of allergen6216$0
99215Established patient office or other outpatient visit, 40-54 minutes4338$0
99204New patient office or other outpatient visit, 45-59 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 4385610013View full group profile
NameSpecialtyState
-NE
-NE
Allergy/Immunology, Internal MedicineNE
A L L E R G Y/ I M M U N O L O G YCA
A L L E R G Y/ I M M U N O L O G YNE
Allergy/Immunology, Pediatric MedicineNE
Physician AssistantNE
-NE
Allergy/Immunology, Internal MedicineNE
Physician AssistantNE

Reviews

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Frequently asked questions

How is MITCHELL M. PITLICK (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MITCHELL M. PITLICK (M.D.) with NPI 1073044574.
Does CMS list MITCHELL M. PITLICK (M.D.) as active?
Yes — MITCHELL M. PITLICK (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes MITCHELL M. PITLICK (M.D.)?
For research purposes, treat MITCHELL M. PITLICK (M.D.) as Allergy & Immunology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MITCHELL M. PITLICK (M.D.) based?
MITCHELL M. PITLICK (M.D.) is tied to Rochester, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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