Active NPI 1679674402 Individual Practitioner Male Practitioner

Dr. Jerry E Mitchell , MD

Surgery • Galesburg, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Mitchell, MD is a registered healthcare professional specializing in Surgery in Galesburg, IL. Practice services are available at 3315 N SEMINARY ST under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3315 N Seminary St

Galesburg, IL 614011251

Telephone 3093441000

Fax 3093441054

Associated Practice Facility / Clinic

🏢 Galesburg Clinic Pc Facility NPI 1972614808

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Galesburg, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.7 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

9 Specialists

Practicing in Galesburg, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.8% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$392.00	$163.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	62	62	$2326.00	$251.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$266.00	$124.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$114.00	$54.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$1926.00	$70.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$387.58	$164.07
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	65	65	$2205.23	$249.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	52	$266.00	$125.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	42	$114.00	$54.49
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	48	46	$248.00	$5.59
11042 Removal of skin and tissue, 20.0 sq cm or less	44	18	$553.86	$58.27
97597 Removal of tissue from wound, 20.0 sq cm or less	35	13	$479.00	$35.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$1835.00	$112.50
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$623.73	$123.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$380.95	$159.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	51	$102.86	$43.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	19	$101.00	$39.19
11042 Removal of skin and tissue, 20.0 sq cm or less	69	19	$529.64	$121.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	65	$252.20	$106.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	25	$105.00	$25.94
11042 Removal of skin and tissue, 20.0 sq cm or less	59	21	$534.05	$60.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	49	49	$2095.45	$258.35
97597 Removal of tissue from wound, 20.0 sq cm or less	47	19	$441.47	$93.20
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	46	46	$246.96	$5.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$351.00	$137.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$1702.87	$104.25
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	20	20	$50.00	$8.01
97597 Removal of tissue from wound, 20.0 sq cm or less	18	11	$438.17	$37.52
36415 Insertion of needle into vein for collection of blood sample	13	13	$27.00	$2.97
17000 Destruction of skin growth	12	12	$284.00	$39.32
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$1067.00	$245.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	152	46	$97.68	$38.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$370.14	$159.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	139	79	$97.83	$43.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	93	$240.94	$105.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	61	$339.44	$135.45
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	50	$1983.94	$262.18
36415 Insertion of needle into vein for collection of blood sample	50	48	$27.00	$2.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	17	$98.62	$25.25
11042 Removal of skin and tissue, 20.0 sq cm or less	34	14	$496.12	$100.86
17003 Destruction of precancer skin growth, 2-14 growths	33	15	$22.27	$5.43
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	32	32	$50.00	$7.96
97597 Removal of tissue from wound, 20.0 sq cm or less	30	14	$400.87	$74.68
11042 Removal of skin and tissue, 20.0 sq cm or less	29	15	$502.86	$55.13
17000 Destruction of skin growth	26	23	$278.62	$41.11
97597 Removal of tissue from wound, 20.0 sq cm or less	22	13	$404.09	$23.83
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	18	17	$1021.67	$190.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$1587.50	$102.34
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$112.00	$17.98
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$594.21	$117.48
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	12	$487.00	$107.31
47562 Removal of gallbladder using an endoscope	13	13	$3037.33	$603.03
49585 Repair of hernia at navel (5 years or older)	13	13	$2156.15	$261.96
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$152.58	$67.75
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	12	11	$505.00	$100.29

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	211	103	$94.65	$42.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	183	60	$95.52	$38.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$362.98	$158.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	76	$234.94	$103.83
36415 Insertion of needle into vein for collection of blood sample	72	64	$27.00	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	70	$331.22	$135.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	17	$94.85	$25.23
97597 Removal of tissue from wound, 20.0 sq cm or less	64	27	$354.48	$78.86
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	52	50	$50.00	$7.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	50	$1909.71	$260.29
11042 Removal of skin and tissue, 20.0 sq cm or less	46	19	$474.20	$58.01
97597 Removal of tissue from wound, 20.0 sq cm or less	31	11	$361.97	$23.80
11042 Removal of skin and tissue, 20.0 sq cm or less	23	13	$472.83	$113.10
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$1511.36	$97.31
17003 Destruction of precancer skin growth, 2-14 growths	21	11	$22.38	$5.10
17000 Destruction of skin growth	18	17	$272.00	$44.37
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$147.31	$70.77
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	13	$976.33	$175.97
49585 Repair of hernia at navel (5 years or older)	12	12	$2097.00	$226.62
49505 Repair of groin hernia (5 years or older)	12	12	$3280.33	$564.15

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	242	107	$91.97	$40.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	173	53	$92.45	$37.50
97597 Removal of tissue from wound, 20.0 sq cm or less	120	31	$336.93	$67.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$354.05	$153.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	66	$322.33	$129.89
36415 Insertion of needle into vein for collection of blood sample	67	60	$26.12	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	14	$91.52	$24.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	54	$228.15	$100.38
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$142.31	$68.18
11042 Removal of skin and tissue, 20.0 sq cm or less	44	19	$460.50	$53.58
17003 Destruction of precancer skin growth, 2-14 growths	39	19	$22.31	$5.25
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	38	38	$2051.00	$247.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$230.19	$101.76
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	34	34	$50.00	$7.60
17000 Destruction of skin growth	25	22	$264.92	$45.83
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$1628.61	$117.39
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	17	15	$939.00	$162.21
99238 Hospital discharge day management, 30 minutes or less	14	14	$168.71	$68.83
47562 Removal of gallbladder using an endoscope	11	11	$3023.00	$653.41

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh

10621858

Commercial Insurance / Payer ID Aetna

4022647

Commercial Insurance / Payer ID John Deere

364271985-38

Commercial Insurance / Payer ID Bc/bs

4815127

Practice Associates & Co-Workers

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

40 Associated Practitioners

Melissa Hajostek , APN

Nurse Practitioner

NPI 1003164617

Advanced Practice Nurse

Dr. Vijay Arora , MD

Surgery

NPI 1003927021

Doctor of Medicine (M.D.)

Shannon Egan , APRN, CNP

Nurse Practitioner - Family

NPI 1043098445

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Bethany Mcgraw , APRN

Nurse Practitioner - Family

NPI 1063157683

Advanced Practice Registered Nurse

Dr. Mark Wiechert , MD

Emergency Medicine

NPI 1063513893

Doctor of Medicine (M.D.)

Dr. Serge Marinkovic , MD

Urology

NPI 1093705501

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 3315 N SEMINARY ST, GALESBURG, IL 614011251 (Tel: 3093441000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3315 N SEMINARY ST, GALESBURG, IL 614011251 (Tel: 3093441000)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY MITCHELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery

🟢

Initial NPI Registration & Enumeration September 26, 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: 1679674402

Entity Type:

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

Enumeration Date: September 26, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3315 N Seminary St

Galesburg, IL 614011251

Phone: 3093441000

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.