Active NPI 1205040664 Individual Practitioner Male Practitioner

Dr. Kristofer J. Mitchell , MD

Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kristofer Mitchell, MD is a certified Surgery practicing in Springfield, IL. With approximately 24 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2002, Dr. Mitchell delivers high-quality medical care to the local community at 800 N 1ST ST.

Dr. Mitchell maintains professional affiliations with Intensive Care Consortium Inc, Urgent Specialty Associates Of Utah Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 N 1st St

Springfield, IL 627023719

Telephone 2175287541

Associated Practice Facility / Clinic

🏢 Springfield Clinic, Llp Facility NPI 1316123284

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +5.8 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

55 Specialists

Practicing in Springfield, IL (1624 Statewide)

Telehealth Adoption Rate

3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mitchell (24 Years) 24 Yrs

Springfield Specialty Average (18.2 Years) 18.2 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
99291 Critical care, first 30-74 minutes	181	96	$665.84	$201.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	169	96	$451.04	$112.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	100	$303.74	$74.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	117	113	$716.74	$164.35
99239 Hospital discharge day management, more than 30 minutes	53	53	$476.00	$108.23
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	33	33	$6447.00	$908.73
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	33	22	$1356.60	$195.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	233	132	$420.72	$75.94
99291 Critical care, first 30-74 minutes	146	74	$434.10	$205.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	89	89	$1232.47	$166.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	83	53	$523.93	$114.26
99239 Hospital discharge day management, more than 30 minutes	59	59	$685.60	$109.64
99238 Hospital discharge day management, 30 minutes or less	37	37	$436.31	$77.27
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	36	36	$9722.91	$901.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$667.58	$124.85
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	16	13	$2083.45	$229.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	414	175	$406.62	$68.37
99291 Critical care, first 30-74 minutes	278	110	$769.14	$209.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	187	88	$564.54	$98.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	95	52	$252.00	$37.28
99238 Hospital discharge day management, 30 minutes or less	77	77	$469.00	$68.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	65	$1211.19	$189.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	61	$829.34	$129.68
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	40	39	$9918.00	$942.85
99221 Initial hospital inpatient care per day, typically 30 minutes	35	34	$572.49	$96.22
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	13	11	$466.85	$137.11
47562 Removal of gallbladder using an endoscope	12	12	$4249.00	$633.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	276	149	$440.50	$69.63
99291 Critical care, first 30-74 minutes	189	76	$1264.63	$214.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	165	102	$252.00	$37.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	55	$635.32	$99.98
99238 Hospital discharge day management, 30 minutes or less	92	90	$469.00	$69.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	65	$861.55	$131.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	43	$1285.07	$194.63
99221 Initial hospital inpatient care per day, typically 30 minutes	44	44	$640.59	$98.26
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	26	26	$9918.00	$928.58
99284 Emergency department visit with moderate level of medical decision making	15	15	$758.00	$120.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	246	143	$468.00	$72.20
99238 Hospital discharge day management, 30 minutes or less	82	82	$469.00	$72.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	68	$880.00	$137.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	45	$252.00	$39.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$1306.00	$202.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	30	$671.00	$104.47
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$651.00	$103.70
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	21	19	$9918.00	$969.98
99239 Hospital discharge day management, more than 30 minutes	16	16	$693.00	$108.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	165	105	$479.31	$72.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$880.00	$136.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	23	$252.00	$39.21
99238 Hospital discharge day management, 30 minutes or less	31	31	$469.00	$72.22
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$651.00	$101.96
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	15	15	$9918.00	$992.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$1306.00	$201.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$671.00	$103.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	352	163	$735.16	$71.63
99238 Hospital discharge day management, 30 minutes or less	102	97	$761.20	$71.48
99221 Initial hospital inpatient care per day, typically 30 minutes	64	63	$1479.57	$101.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	62	$1628.00	$134.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	16	$930.00	$103.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$1794.90	$199.82
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$420.00	$70.38
99239 Hospital discharge day management, more than 30 minutes	13	12	$1095.70	$107.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	156	94	$359.00	$38.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	142	79	$654.37	$71.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$964.88	$135.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$779.98	$201.08
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$1107.72	$100.69
99238 Hospital discharge day management, 30 minutes or less	12	12	$692.00	$71.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$789.27	$103.49

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036120394

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.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License IL 036120394

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License IL 036120394

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036120394 (IL)

Commercial Insurance / Payer ID Medicare Ptan

R01662 (IL)

Hospital & Practice Group Affiliations

Urgent Specialty Associates Of Utah Pllc

1200 E 3900, Salt Lake City, UT 841241300

Phone: 8012687111

Intensive Care Consortium Inc

1200 E 3900, Salt Lake City, UT 841241300

Phone: 5619970821

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864

Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546

Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

Barbara Wolfson , LCPC

Counselor

NPI 1003900739

Licensed Clinical Professional Counselor

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) January 31, 2022

Surgery (License #036120394 in IL)

✅

NPI Profile Active January 12, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 12, 2009

Registered at 800 N 1ST ST, SPRINGFIELD, IL 627023719 (Tel: 2175287541)

📍

Updated Business Mailing Address January 12, 2009

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

👤

Provider Name / Credentials Updated January 12, 2009

Recorded as KRISTOFER MITCHELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2009

Surgery (License #036120394 in IL)

🟢

Initial NPI Registration & Enumeration May 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205040664

Entity Type:

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

Enumeration Date: May 09, 2007

Last Update: January 31, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 2175287541

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.