Active NPI 1114068467 Individual Practitioner Male Practitioner

Dr. Deepak Mitra , MD

Internal Medicine • Mchenry, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Deepak Mitra, MD is a certified Internal Medicine practicing in Mchenry, IL. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Mitra delivers high-quality medical care to the local community at 633 RIDGEVIEW DR.

Dr. Mitra is affiliated with Advocate Health And Hospitals Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

633 Ridgeview Dr

Mchenry, IL 600507012

Telephone 8153442760

Fax 8153440664

Associated Practice Facility / Clinic

🏢 Midwest Endocrinology & Diabetes Care Center Facility NPI 1497953889

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mchenry, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +0.4 yrs vs City Avg

City Avg: 20.6 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

72 Specialists

Practicing in Mchenry, IL (7544 Statewide)

Telehealth Adoption Rate

9.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mitra (21 Years) 21 Yrs

Mchenry Specialty Average (20.6 Years) 20.6 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	692	333	$278.88	$121.35
36415 Insertion of needle into vein for collection of blood sample	593	300	$22.00	$8.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	214	214	$332.00	$121.77
99213 Established patient office or other outpatient visit, typically 15 minutes	101	85	$198.00	$83.50
G0008 Administration of influenza virus vaccine	85	82	$60.00	$31.15
90662 Influenza vaccine split virus, preservative free	84	81	$125.00	$80.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	21	$168.00	$50.69
90480 Admn sarscov2 vacc 1 dose	19	18	$85.00	$41.54
91322 Sarscov2 vac 50 mcg/0.5ml im	19	18	$250.00	$157.61
81003 Automated urinalysis test	18	18	$21.00	$2.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$498.00	$148.18
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$371.00	$157.99

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	574	316	$259.00	$121.65
36415 Insertion of needle into vein for collection of blood sample	553	304	$22.00	$8.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	248	248	$316.00	$122.39
99213 Established patient office or other outpatient visit, typically 15 minutes	130	108	$178.00	$84.97
G0008 Administration of influenza virus vaccine	110	110	$55.30	$32.03
90662 Influenza vaccine split virus, preservative free	106	106	$113.64	$71.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	12	$168.00	$81.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	31	$168.00	$48.47
G0009 Administration of pneumococcal vaccine	34	34	$42.94	$32.32
81003 Automated urinalysis test	29	24	$21.00	$2.20
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	25	25	$361.00	$281.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$352.00	$161.86
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$474.00	$146.32
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	11	$75.00	$31.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	537	291	$22.00	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	523	307	$235.00	$123.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	214	214	$316.00	$125.33
99213 Established patient office or other outpatient visit, typically 15 minutes	127	107	$161.00	$86.85
G0008 Administration of influenza virus vaccine	115	112	$41.00	$30.82
90662 Influenza vaccine split virus, preservative free	108	105	$73.00	$68.18
G0009 Administration of pneumococcal vaccine	53	53	$41.00	$31.22
90746 Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle	30	16	$123.00	$69.04
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	30	30	$346.00	$278.90
G0010 Administration of hepatitis b vaccine	30	16	$41.00	$31.06
99441 Telephone medical discussion with physician, 5-10 minutes	26	22	$100.00	$49.65
93000 Routine ekg using at least 12 leads including interpretation and report	26	25	$82.00	$13.82
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	22	22	$70.00	$34.85
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$349.48	$161.81
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$162.95	$131.86
81003 Automated urinalysis test	19	19	$21.00	$2.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$474.00	$161.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$352.00	$163.13

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	525	287	$224.00	$126.63
36415 Insertion of needle into vein for collection of blood sample	477	246	$22.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	139	100	$153.00	$89.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	137	137	$316.00	$128.06
G0008 Administration of influenza virus vaccine	122	115	$41.00	$17.92
90662 Influenza vaccine split virus, preservative free	112	107	$73.00	$64.95
99441 Telephone medical discussion with physician, 5-10 minutes	91	74	$95.00	$54.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	14	$168.00	$75.16
G0009 Administration of pneumococcal vaccine	30	30	$41.00	$17.91
81003 Automated urinalysis test	28	26	$21.00	$2.25
93000 Routine ekg using at least 12 leads including interpretation and report	28	26	$82.00	$14.39
90670 Pneumococcal vaccine for injection into muscle	19	19	$318.00	$239.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$341.00	$165.13
96127 Assessment of emotional or behavioral problems	18	17	$18.00	$4.55

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	593	291	$211.93	$105.85
36415 Insertion of needle into vein for collection of blood sample	455	254	$22.00	$2.98
99441 Telephone medical discussion with physician, 5-10 minutes	216	147	$63.00	$43.86
99213 Established patient office or other outpatient visit, typically 15 minutes	136	106	$144.53	$72.25
G0008 Administration of influenza virus vaccine	118	116	$41.00	$17.52
90662 Influenza vaccine split virus, preservative free	115	113	$69.05	$60.29
G0009 Administration of pneumococcal vaccine	36	36	$41.00	$17.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$339.75	$162.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	11	$164.88	$76.45
99442 Telephone medical discussion with physician, 11-20 minutes	29	28	$102.00	$72.78
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$82.00	$16.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$316.00	$112.61
81003 Automated urinalysis test	22	18	$21.00	$2.24
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$155.41	$119.19
90670 Pneumococcal vaccine for injection into muscle	15	15	$318.00	$226.18
96127 Assessment of emotional or behavioral problems	13	11	$18.00	$4.73
81002 Urinalysis, manual test	12	12	$23.00	$3.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$295.67	$146.78

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	779	323	$203.00	$105.72
36415 Insertion of needle into vein for collection of blood sample	316	192	$22.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	198	132	$136.00	$72.35
G0008 Administration of influenza virus vaccine	130	125	$41.00	$15.94
90662 Influenza vaccine split virus, preservative free	120	115	$67.60	$54.74
G0009 Administration of pneumococcal vaccine	76	76	$41.00	$16.71
90670 Pneumococcal vaccine for injection into muscle	48	48	$318.00	$207.89
81002 Urinalysis, manual test	45	36	$23.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$331.00	$161.84
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$149.75	$109.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$316.00	$113.03
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$82.00	$16.49
81003 Automated urinalysis test	15	12	$21.00	$2.44

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	724	236	$194.79	$104.49
36415 Insertion of needle into vein for collection of blood sample	406	187	$15.64	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	134	96	$133.44	$70.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	107	18	$154.93	$76.49
G0008 Administration of influenza virus vaccine	65	65	$41.00	$21.31
90662 Influenza vaccine split virus, preservative free	61	61	$63.28	$52.16
85610 Blood test, clotting time	59	13	$30.20	$4.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$308.50	$161.82
93000 Routine ekg using at least 12 leads including interpretation and report	37	32	$79.41	$16.35
81003 Automated urinalysis test	31	24	$21.00	$2.71
G0009 Administration of pneumococcal vaccine	27	27	$41.00	$21.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	18	$280.28	$144.10
90670 Pneumococcal vaccine for injection into muscle	20	20	$318.00	$199.18
99238 Hospital discharge day management, 30 minutes or less	19	16	$145.95	$76.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$88.67	$42.24
87804 Detection test by immunoassay with direct visual observation for influenza virus	14	12	$80.00	$16.22

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	659	209	$184.00	$103.46
36415 Insertion of needle into vein for collection of blood sample	294	138	$13.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	103	74	$129.00	$70.29
85610 Blood test, clotting time	92	12	$30.00	$5.11
G0008 Administration of influenza virus vaccine	83	80	$41.00	$26.42
90662 Influenza vaccine split virus, preservative free	74	71	$60.00	$47.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$286.00	$159.70
G0009 Administration of pneumococcal vaccine	35	35	$41.00	$26.42
90670 Pneumococcal vaccine for injection into muscle	29	29	$314.07	$186.83
93000 Routine ekg using at least 12 leads including interpretation and report	23	21	$78.00	$16.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	14	$273.00	$144.18
81003 Automated urinalysis test	17	16	$21.00	$3.02
81002 Urinalysis, manual test	13	12	$23.00	$3.17

Medical Specialties & State Licenses

CMS Verified: 2022-04-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-122249

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MN 49813

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

552920000 (MN)

Commercial Insurance / Payer ID Mercycare Insurance

MITRADEE (WI)

Commercial Insurance / Payer ID Rr Medicare

P00684628CG6042 (IL)

Hospital & Practice Group Affiliations

Advocate Health And Hospitals Corporation

525 E Congress Pkwy, Crystal Lake, IL 600146258

Advocate Health And Hospitals Corporation

633 Ridgeview Dr, Mchenry, IL 600507012

Phone: 8153440621

Advocate Health And Hospitals Corporation

450 W Hwy 22, Barrington, IL 600101919

Phone: 8473810123

Advocate Health And Hospitals Corporation

214 Mchenry Rd, Buffalo Grove, IL 600896748

Phone: 8474591160

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Sanjukta Mitra , MD

Internal Medicine

NPI 1255407805

Doctor of Medicine (M.D.)

Hiral Patel

Nurse Practitioner

NPI 1457217978

Dr. Prodyot Mitra , MD

Surgery

NPI 1699841247

Doctor of Medicine (M.D.)

Dr. Arun Narang , MD

Internal Medicine

NPI 1952469215

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2022

Internal Medicine (License #49813 in MN)

✅

NPI Profile Active October 13, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2011

Registered at 633 RIDGEVIEW DR, MCHENRY, IL 600507012 (Tel: 8153442760)

📍

Updated Business Mailing Address October 13, 2011

Registered at 633 RIDGEVIEW DR, MCHENRY, IL 600507012 (Tel: 8153442760)

👤

Provider Name / Credentials Updated October 13, 2011

Recorded as DEEPAK MITRA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2011

Internal Medicine (License #036-122249 in IL)

🟢

Initial NPI Registration & Enumeration February 09, 2007

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: 1114068467

Entity Type:

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

Enumeration Date: February 09, 2007

Last Update: April 19, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

633 Ridgeview Dr

Mchenry, IL 600507012

Phone: 8153442760

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.