BRIAN MITCHELL (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1619407608
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
56 ORAL SURGERY in IL
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Provider Addresses for BRIAN MITCHELL (DDS)
550 THIRD AVENUE SUITE 1
KINGSTON, PA 187045806
Phone: (570) 288-9070
Fax: (570) 288-4201
Type: Mailing
Baytowne Drive, Champaign, Champaign County, Illinois, 61822, United States
CHAMPAIGN, IL 618226915
Phone: (513) 600-2586
Type: Mailing
Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States
URBANA, IL 618012529
Phone: (217) 326-1297
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-07-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210709001499 | I | Oral Surgery | PA | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 88 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 29 | $0 |
| 70355 | X-ray of lower jaws, upper jaws and teeth | 32 | 31 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 21 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 18704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | PA | |
| Oral Surgery | PA | |
| Oral Surgery | PA |
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