AMITABHA MITRA (MD) – Plastic and Reconstructive Surgery Physician, NPI 1831187871
Plastic and Reconstructive Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
394 PLASTIC AND RECONSTRUCTIVE SURGERY in PA
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Provider Addresses for AMITABHA MITRA (MD)
1201, Grampian Boulevard, Williamsport, Lycoming County, Pennsylvania, 17701, United States
WILLIAMSPORT, PA 177011900
Phone:
Type: Mailing
Divine Providence Hospital, 1100, Grampian Boulevard, Williamsport, Lycoming County, Pennsylvania, 17701, United States
WILLIAMSPORT, PA 177011907
Phone: (570) 326-8005
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: 2004-02-05
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 |
|---|---|---|---|---|
| I20040205000872 | I | Plastic And Reconstructive 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 403 | 118 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 374 | 209 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 235 | 235 | $0 |
| 20600 | Aspiration and/or injection of fluid from small joint | 95 | 60 | $0 |
| 20550 | Injection into tendon or ligament | 84 | 60 | $0 |
Insurance plans in this area (ZIP 17701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | PA | |
| Family Practice | PA | |
| Emergency Medicine | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Orthopedic Surgery | PA | |
| Physician Assistant | PA | |
| Internal Medicine | MA | |
| Physician Assistant | PA | |
| Orthopedic Surgery | PA |
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