MR. JOHN MARVIN MITCHELL (MD) – Surgery Physician, NPI 1427044114

MR. JOHN MARVIN MITCHELL (MD) is a healthcare provider. based in Newark, Ohio. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 35.084820 (OH). The NPI Number for MR. JOHN MARVIN MITCHELL (MD) is 1427044114

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN MARVIN MITCHELL (MD)
NPI
1427044114
Phone
(220) 564-1880
Address
1272 WEST MAIN STREET
Enumeration Date
27 September 2005
Last Update Date
18 March 2021

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2205641778
Graduation Year
1999 (27 years ago)
PAC ID
2961479746
Group Practice PAC ID
6204740731
Professional Enrollment ID
I20200317001773
Address ID
OH430552058NE1272XSTXX401

Contacts

Secure Messaging
jmitchell14390@lickingmemorial.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:20State licenses:4Other namesUpdated within 12 months

1,600 GENERAL SURGERY in OH

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Provider Addresses for MR. JOHN MARVIN MITCHELL (MD)

  • 1272, West Main Street, Newark, Licking County, Ohio, 43055, United States

    SUITE 302

    NEWARK, OH 43055

    Phone: (220) 564-1880

    Fax: (220) 564-1881

    Type: Mailing

  • 30 MESSIMER DR

    NEWARK, OH 430551842

    Phone: (220) 564-1880

    Fax: (220) 564-1881

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $3,000.

Total Amount is formed as General ($3,000) + Research ($0) + Ownership ($0) = $3,000.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,000).

Total Amount

$3,000

General + Research + Ownership

Payments

2

Total payment records

General Amount

$3,000

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$3,000
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: 2020-03-17

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
I20200317001773IGeneral SurgeryOHTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4024$0
99203New patient office or other outpatient visit, 30-44 minutes3232$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2727$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
99213Established patient office or other outpatient visit, 20-29 minutes2320$0
View full utilization report →

Insurance plans in this area (ZIP 43055)

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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: 6204740731View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Nurse PractitionerOH
U R O L O G YOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
Emergency MedicineOH
Certified Nurse Midwife (Cnm)OH
Pain ManagementOH

Reviews

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Frequently asked questions

Can I cross-check MR. JOHN MARVIN MITCHELL (MD) using NPI 1427044114?
NPI 1427044114 belongs to MR. JOHN MARVIN MITCHELL (MD); compare other details if you need extra assurance.
Is MR. JOHN MARVIN MITCHELL (MD) shown as active in public data?
Registry records indicate MR. JOHN MARVIN MITCHELL (MD) maintains an active NPI.
What expertise is attributed to MR. JOHN MARVIN MITCHELL (MD)?
MR. JOHN MARVIN MITCHELL (MD)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MR. JOHN MARVIN MITCHELL (MD) located near Newark?
MR. JOHN MARVIN MITCHELL (MD) currently maps to Newark, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.