MARY MORGAN MITCHELL (D.O) – Sports Medicine (Family Medicine) Physician, NPI 1982051660
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
244 SPORTS MEDICINE in MI
Provider Addresses for MARY MORGAN MITCHELL (D.O)
PO BOX 1088
PULASKI, VA 243011088
Phone: (540) 980-0922
Type: Mailing
50 N Perry St
Pontiac, MI 483422217
Phone: (248) 338-5000
Fax: (248) 338-5567
Type: Location
25 4th St NW
Pulaski, VA 24301
Phone: (540) 980-0922
Type: Location
1691 INNOVATION DR STE 2100
BLACKSBURG, VA 240606618
Phone: (540) 232-8405
Type: Location
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 $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Bioventus LLC ($49).
Total Amount
$49
General + Research + Ownership
Payments
2
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $49 |
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: 2021-05-19
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 |
|---|---|---|---|---|
| I20210519001990 | I | Sports Medicine | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 11 | $0 |
Insurance plans in this area (ZIP 24301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Osteopathic Manipulative Medicine, Pediatric Medicine | VA | |
| Internal Medicine, Pediatric Medicine | VA | |
| Physical Medicine And Rehabilitation | OH | |
| Sports Medicine | VA | |
| Osteopathic Manipulative Medicine | VA | |
| Osteopathic Manipulative Medicine | VA | |
| Sports Medicine, Osteopathic Manipulative Medicine | VA | |
| Family Practice, Sports Medicine | VA |
Reviews
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