DR. WILLIAM A. III MITCHELL (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1497958508
Sports Medicine (Family Medicine) Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for DR. WILLIAM A. III MITCHELL (M.D.)
1755, South Grand Boulevard, Shaw, City of Saint Louis, Missouri, 63104, United States
ANHEUSER BUSCH INSTITUTE - DEPT. OF ORTHOPEDICS
SAINT LOUIS, MO 631041540
Phone: (314) 256-3850
Fax: (314) 256-3875
Type: Mailing
1225 S GRAND BLVD
SAINT LOUIS, MO 631041016
Phone: (314) 257-3390
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2007-11-08
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 |
|---|---|---|---|---|
| I20071108000475 | I | Physical Medicine And Rehabilitation | MO | 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 |
|---|---|---|---|---|
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 39 | 18 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 19 | 14 | $0 |
Insurance plans in this area (ZIP 63104)
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Group practice members
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