DR. KENT MITCHELL (M.D.) – Interventional Pain Medicine Physician, NPI 1619170453

DR. KENT MITCHELL (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in FAMILY PRACTICE, INTERVENTIONAL PAIN MANAGEMENT, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. M0830 (TX). The NPI Number for DR. KENT MITCHELL (M.D.) is 1619170453

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENT MITCHELL (M.D.)
NPI
1619170453
Phone
Not provided
Address
1000 LIPSCOMB ST STE 110
Enumeration Date
8 June 2007
Last Update Date
18 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
8173488600
Graduation Year
2003 (23 years ago)
PAC ID
9436221900
Group Practice PAC ID
3072592252
Professional Enrollment ID
I20080630000065
Address ID
TX760878767WI110XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. KENT MITCHELL (M.D.)

  • 110, Lipscomb Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761043181

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $900.

Total Amount is formed as General ($900) + Research ($0) + Ownership ($0) = $900.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Abbott Laboratories ($755).

Total Amount

$900

General + Research + Ownership

Payments

53

Total payment records

General Amount

$900

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

1

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2008-06-30

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
I20080630000065IFamily PracticeTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg80465$0
99214Established patient office or other outpatient visit, 30-39 minutes580203$0
99213Established patient office or other outpatient visit, 20-29 minutes11873$0
80307Testing for presence of drug, by chemistry analyzers10582$0
62323Injection of substance into lower spine canal using imaging guidance8374$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Provider's Procedures

DR. KENT MITCHELL (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX62311Injections of substances into lower or sacral spine7146
FAMILY MEDICINETX64493Injections of lower or sacral spine facet joint using imaging guidance2524

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: 3072592252View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementTX
Pain ManagementTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerMD
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
A N E S T H E S I O L O G YTX
Physician AssistantTX

Reviews

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Frequently asked questions

What identifier follows DR. KENT MITCHELL (M.D.) across health systems?
The NPI 1619170453 uniquely identifies DR. KENT MITCHELL (M.D.) in U.S. healthcare data.
Does the public listing show DR. KENT MITCHELL (M.D.) as active?
DR. KENT MITCHELL (M.D.)'s NPI record reflects an active status in NPPES.
What services align with DR. KENT MITCHELL (M.D.)'s listing?
DR. KENT MITCHELL (M.D.)'s public classification highlights Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KENT MITCHELL (M.D.)?
The directory associates DR. KENT MITCHELL (M.D.) with Fort Worth, Texas. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. KENT MITCHELL (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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