WILLIAM AVERY MIX (MD) – Family Medicine Physician, NPI 1720086622

WILLIAM AVERY MIX (MD) is a healthcare provider. based in Charlottesville, Virginia. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 0101260244 (VA). The NPI Number for WILLIAM AVERY MIX (MD) is 1720086622

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM AVERY MIX (MD)
NPI
1720086622
Phone
(434) 654-1800
Address
435 MERCHANT WALK SQ STE 400
Enumeration Date
13 July 2005
Last Update Date
18 April 2019

Doctor Profile

Medical School Name
STATE UN OF NY, BUFFALO SCHOOL OF DENTAL MEDICINE
Secondary Phone
4346544680
Graduation Year
1977 (49 years ago)
PAC ID
5698816569
Group Practice PAC ID
5991889081
Professional Enrollment ID
I20161220002556
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for WILLIAM AVERY MIX (MD)

  • 435 MERCHANT WALK SQ STE 400

    CHARLOTTESVILLE, VA 229026516

    Phone: (434) 654-1800

    Fax: (844) 883-6065

    Type: Location

  • PO BOX 79777

    BALTIMORE, MD 212790777

    Phone: (434) 654-7794

    Fax: (844) 883-6065

    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.

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: 2016-12-20

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
I20161220002556IFamily PracticeVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes130126$0
99214Established patient office or other outpatient visit, 30-39 minutes3228$0
View full utilization report →

Insurance plans in this area (ZIP 22902)

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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: 5991889081View full group profile
NameSpecialtyState
N E U R O L O G YMD
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YVA
Vascular Surgery, General SurgeryVA
-MD
-VA
N E U R O S U R G E R YMD
Nurse PractitionerVA
Nurse PractitionerMD
-MD

Reviews

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Frequently asked questions

What identifier follows WILLIAM AVERY MIX (MD) across health systems?
The NPI 1720086622 uniquely identifies WILLIAM AVERY MIX (MD) in U.S. healthcare data.
Quick check: is WILLIAM AVERY MIX (MD) active?
Public NPPES data shows WILLIAM AVERY MIX (MD) with an active NPI status right now.
How should patients interpret WILLIAM AVERY MIX (MD)'s specialty?
The extract shows Family Medicine Physician for WILLIAM AVERY MIX (MD). Clinical services aligned with this taxonomy classification.
Is WILLIAM AVERY MIX (MD) tied to Charlottesville, Virginia?
If you are local to Charlottesville, Virginia, WILLIAM AVERY MIX (MD) may be relevant to your search.
Why is information missing for WILLIAM AVERY MIX (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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