Active NPI 1205809746 Individual Practitioner Male Practitioner

Mitchell W Johnson , PA

Physician Assistant - Surgical • Vero Beach, FL

Professional Overview & Biography Verified Profile Summary

Mitchell Johnson, PA is a registered healthcare professional specializing in Physician Assistant - Surgical in Vero Beach, FL. Practice services are available at 3770 7TH TER under active NPI credentials.

Frequently performed procedures and clinical services include removal of blood clot and portion of artery of neck, established patient outpatient office visit, relocation of arm vein with connection to arm artery, open procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3770 7th Ter
#101

Vero Beach, FL 329606553

Telephone 7725676602

Fax 7725677754

Associated Practice Facility / Clinic

🏢 Vero Vascular Surgery Pa Facility NPI 1235101700

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Vero Beach, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.3 Yrs

State Avg: 15.3 Yrs

Regional Practice Density

15 Specialists

Practicing in Vero Beach, FL (1463 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.6% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
35301 Removal of blood clot and portion of artery of neck	20	20	$2750.00	$179.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$95.00	$50.10
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$155.00	$81.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	53	$95.00	$40.95
99213 Established patient office or other outpatient visit, typically 15 minutes	47	45	$155.00	$66.52
35301 Removal of blood clot and portion of artery of neck	37	36	$1756.76	$183.69
36821 Relocation of arm vein with connection to arm artery, open procedure	25	25	$1260.00	$107.01
36830 Connection of tube graft to vein and artery for dialysis	22	22	$1218.18	$108.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$300.00	$149.02
34812 Incision of artery in one thigh for insertion of prosthesis, open procedure	14	14	$560.11	$49.28
34705 Repair of non-ruptured aorta and groin arteries on both sides with graft inserted through artery, including radiological supervision and interpretation	14	14	$1107.14	$247.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	60	$155.00	$65.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	59	$95.00	$39.94
35301 Removal of blood clot and portion of artery of neck	39	38	$1179.49	$179.20
36830 Connection of tube graft to vein and artery for dialysis	25	25	$1000.00	$105.32
36821 Relocation of arm vein with connection to arm artery, open procedure	19	19	$1000.00	$104.77
34812 Incision of artery in one thigh for insertion of prosthesis, open procedure	15	15	$753.33	$76.09
34705 Repair of non-ruptured aorta and groin arteries on both sides with graft inserted through artery, including radiological supervision and interpretation	15	15	$1000.00	$292.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$300.00	$146.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	70	$155.00	$64.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	67	$95.00	$38.57
35301 Removal of blood clot and portion of artery of neck	41	40	$1000.00	$174.48
36830 Connection of tube graft to vein and artery for dialysis	33	31	$1109.09	$101.85
36821 Relocation of arm vein with connection to arm artery, open procedure	20	20	$1000.00	$101.24
34812 Incision of artery in one thigh for insertion of prosthesis, open procedure	11	11	$529.54	$70.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	67	$95.00	$38.34
99213 Established patient office or other outpatient visit, typically 15 minutes	67	66	$155.00	$64.22
35301 Removal of blood clot and portion of artery of neck	40	40	$1131.25	$198.21
36830 Connection of tube graft to vein and artery for dialysis	26	26	$984.62	$104.48
36821 Relocation of arm vein with connection to arm artery, open procedure	16	16	$1000.00	$103.85
36589 Removal of central venous catheter for infusion	13	13	$375.00	$149.62
34812 Incision of artery in one thigh for insertion of prosthesis, open procedure	11	11	$590.91	$80.47

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License FL PA 2767

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare Prov#

970009579 (FL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

Y02C0 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Alyson Ryall , PA-C

Physician Assistant - Surgical

NPI 1427657055

Physician Assistant (Certified)

Dr. William Beckett , MD

Surgery - Vascular Surgery

NPI 1548232333

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2010

Registered at 3770 7TH TER, #101, VERO BEACH, FL 329606553 (Tel: 7725676602)

📍

Updated Business Mailing Address January 26, 2010

Registered at 3770 7TH TER, #101, VERO BEACH, FL 329606553 (Tel: 7725676602)

👤

Provider Name / Credentials Updated January 26, 2010

Recorded as MITCHELL JOHNSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2010

Physician Assistant (License #PA 2767 in FL)

🟢

Initial NPI Registration & Enumeration February 07, 2006

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: 1205809746

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 07, 2006

Last Update: January 26, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3770 7th Ter, #101

Vero Beach, FL 329606553

Phone: 7725676602

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.