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Deactivated NPI 1801022009 Deactivated / Inactive NPI Female Practitioner

Dr. Elizabeth Margaret Mutch , MD

General Practice • Port Orange, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Elizabeth Mutch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 02, 2009
NPI Deactivation Date August 07, 2025
Total Practice Duration ~16 Years of Practice (2009 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Elizabeth Mutch, MD was a registered General Practice practicing in Port Orange, FL. Throughout an active medical career spanning 16 years, Dr. Mutch provided care at the practice location at 986 WENDAM CT until profile deactivation on 2025-08-07.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

986 Wendam Ct

Port Orange, FL 321279331

Telephone 3867670669
Fax 3867670669

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Port Orange, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Port Orange, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
24 21 $180.00 $74.06

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME 42969

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 07, 2025

Record deactivated on August 07, 2025

NPI Profile Active June 02, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 02, 2009

Registered at 986 WENDAM CT, PORT ORANGE, FL 321279331 (Tel: 3867670669)

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Updated Business Mailing Address June 02, 2009

Registered at 986 WENDAM CT, PORT ORANGE, FL 321279331 (Tel: 3867670669)

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Provider Name / Credentials Updated June 02, 2009

Recorded as ELIZABETH MUTCH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2009

General Practice (License #ME 42969 in FL)

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Initial NPI Registration & Enumeration June 02, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801022009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2009
Last Update: June 02, 2009
Deactivation Date: August 07, 2025

Mailing Address

986 Wendam Ct

Port Orange, FL 321279331

Phone: 3867670669

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.