Active NPI 1508850694 Individual Practitioner Male Practitioner

Dr. Idol Ray Mitchell , DPM

Podiatrist • Macomb, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Idol Mitchell, DPM is a certified Podiatrist practicing in Macomb, IL. With approximately 34 years of clinical experience since graduating from College Of Podiatric Med And Surgery, Des Moines University in 1992, Dr. Mitchell delivers high-quality medical care to the local community at 437 EAST GRANT STREET.

Dr. Mitchell is affiliated with Blessing Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of fingernails or toenails, new 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

437 East Grant Street

Macomb, IL 614553352

Telephone 3098373964

Fax 3098373966

Associated Practice Facility / Clinic

🏢 Idol R Mitchell Dpm Pc Facility NPI 1003987173

Medicare Profile & Education

Medical School

College Of Podiatric Med And Surgery, Des Moines University

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Macomb, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs Matches City Avg

City Avg: 34.0 Yrs

State Avg: 29.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Macomb, IL (647 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mitchell (34 Years) 34 Yrs

Macomb Specialty Average (34.0 Years) 34.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	675	316	$209.26	$121.54
11721 Removal of fingernails or toenails, 6 or more nails	373	182	$96.74	$42.15
99213 Established patient office or other outpatient visit, typically 15 minutes	313	183	$141.59	$86.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$326.19	$160.94
73630 X-ray of foot, minimum of 3 views	43	38	$66.84	$24.85
11750 Permanent removal fingernail or toenail	21	20	$483.73	$150.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	654	284	$202.83	$124.49
11721 Removal of fingernails or toenails, 6 or more nails	635	260	$93.87	$42.99
99213 Established patient office or other outpatient visit, typically 15 minutes	226	164	$136.99	$88.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$315.78	$163.61
73630 X-ray of foot, minimum of 3 views	41	35	$68.77	$28.79
11750 Permanent removal fingernail or toenail	16	15	$468.59	$153.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$205.36	$110.01
73650 X-ray of heel, minimum of 2 views	13	12	$56.02	$19.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	765	287	$93.87	$43.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	626	299	$202.83	$124.65
99213 Established patient office or other outpatient visit, typically 15 minutes	126	96	$136.99	$89.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$315.78	$164.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$205.36	$110.62
73630 X-ray of foot, minimum of 3 views	41	39	$68.54	$25.62
73650 X-ray of heel, minimum of 2 views	20	14	$57.23	$20.42
11056 Removal of noncancer thickened skin growth, 2-4 growths	17	14	$148.50	$80.11
11750 Permanent removal fingernail or toenail	17	17	$468.59	$149.39
11055 Removal of single thickened skin growth	14	13	$129.12	$69.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	860	327	$139.00	$43.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	543	265	$277.00	$125.41
99213 Established patient office or other outpatient visit, typically 15 minutes	215	173	$188.00	$89.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$428.00	$164.60
73630 X-ray of foot, minimum of 3 views	53	46	$67.71	$22.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$280.00	$111.18
11055 Removal of single thickened skin growth	50	36	$110.00	$67.29
11056 Removal of noncancer thickened skin growth, 2-4 growths	31	22	$66.00	$66.57
11750 Permanent removal fingernail or toenail	21	20	$574.00	$159.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	765	358	$112.40	$45.15
99213 Established patient office or other outpatient visit, typically 15 minutes	410	246	$162.36	$73.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	181	$260.10	$107.19
73630 X-ray of foot, minimum of 3 views	54	42	$138.30	$28.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$252.00	$106.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$428.00	$163.84
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$173.00	$74.78
11056 Removal of noncancer thickened skin growth, 2-4 growths	27	21	$109.00	$72.38
11055 Removal of single thickened skin growth	26	24	$123.00	$61.01
11750 Permanent removal fingernail or toenail	15	14	$547.20	$154.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$114.36	$44.58
73620 X-ray of foot, 2 views	12	12	$156.94	$26.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	952	384	$75.01	$44.50
99213 Established patient office or other outpatient visit, typically 15 minutes	606	350	$146.09	$72.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	489	214	$229.77	$103.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$234.09	$105.52
73630 X-ray of foot, minimum of 3 views	70	52	$198.50	$31.67
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	16	$79.80	$21.75
73620 X-ray of foot, 2 views	32	28	$169.06	$26.57
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$160.84	$74.49
11750 Permanent removal fingernail or toenail	19	16	$499.42	$144.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	929	350	$74.00	$44.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	579	269	$227.00	$104.25
99213 Established patient office or other outpatient visit, typically 15 minutes	435	281	$144.00	$70.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$232.00	$105.15
73630 X-ray of foot, minimum of 3 views	86	66	$183.00	$27.76
73620 X-ray of foot, 2 views	35	27	$162.00	$24.82
29540 Placement of strapping to ankle or foot	32	30	$106.88	$28.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,058	403	$74.38	$41.71
99213 Established patient office or other outpatient visit, typically 15 minutes	533	292	$142.31	$67.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$230.99	$101.48
97597 Removal of tissue from wound, 20.0 sq cm or less	125	39	$137.50	$68.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	96	$110.40	$40.32
73630 X-ray of foot, minimum of 3 views	92	67	$206.62	$25.71
29540 Placement of strapping to ankle or foot	83	43	$97.23	$24.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	59	$201.10	$100.41
73620 X-ray of foot, 2 views	58	42	$169.41	$22.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	50	14	$23.00	$1.82
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	22	$78.46	$18.45
11720 Removal of fingernails or toenails, 1-5 nails	31	24	$49.45	$29.60
11750 Permanent removal fingernail or toenail	20	20	$414.55	$141.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$329.00	$154.21
20550 Injection into tendon or ligament	13	13	$206.00	$50.07

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License IL 016-004683

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

016004683 (IL)

Commercial Insurance / Payer ID Dmerc

4452210001

Commercial Insurance / Payer ID Railroad Medicare Prov #

480034728

Commercial Insurance / Payer ID Medicare Id

214428 (IL)

Hospital & Practice Group Affiliations

Blessing Hospital

437 E Grant St, Macomb, IL 614553311

Phone: 3098373964

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Max Rexroat , DPM

Podiatrist

NPI 1235122623

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 15, 2008

Registered at 437 EAST GRANT STREET, MACOMB, IL 614553352 (Tel: 3098373964)

📍

Updated Business Mailing Address May 15, 2008

Registered at 437 EAST GRANT STREET, MACOMB, IL 614553352 (Tel: 3098373964)

👤

Provider Name / Credentials Updated May 15, 2008

Recorded as IDOL MITCHELL, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2008

Podiatrist (License #016-004683 in IL)

🟢

Initial NPI Registration & Enumeration September 06, 2005

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: 1508850694

Entity Type:

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

Enumeration Date: September 06, 2005

Last Update: May 15, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

437 East Grant Street

Macomb, IL 614553352

Phone: 3098373964

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

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