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Active NPI 1164788386 Individual Practitioner Male Practitioner

Dr. Mayo Mitsuya , DO

Surgery • Lapeer, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mayo Mitsuya, DO is a certified Surgery practicing in Lapeer, MI. With approximately 14 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 2012, Dr. Mitsuya delivers high-quality medical care to the local community at 1739 N SAGINAW ST STE 104A.

Dr. Mitsuya maintains professional affiliations with Acute Care Surgery Medical Group Inc, Surgical Affiliates Of California, Mayo Mitsuya, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1739 N Saginaw St Ste 104a

Lapeer, MI 484467627

Telephone 3132146345
Fax 3134472010
Associated Practice Facility / Clinic
🏢 Arja Md Pc Facility NPI 1124415161

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lapeer, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +0.3 yrs vs City Avg
City Avg: 13.7 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Lapeer, MI (1479 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mitsuya (14 Years) 14 Yrs
Lapeer Specialty Average (13.7 Years) 13.7 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
200 107 $146.61 $76.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
62 61 $418.26 $129.36
99285 Emergency department visit for life threatening or functioning severity
37 37 $219.57 $166.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
22 22 $340.06 $167.59
99213 Established patient office or other outpatient visit, typically 15 minutes
19 13 $92.27 $63.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes
19 13 $218.00 $49.89

Medical Specialties & State Licenses

CMS Verified: 2026-07-21
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 5101019835

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.

Pain Medicine - Interventional Pain Medicine

NUCC Taxonomy Code: 208VP0014X

State License MI 5101019835

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Hospital & Practice Group Affiliations

Mayo Mitsuya, Pllc

1375 N Main St, Lapeer, MI 484461350

Phone: 8106675500

Acute Care Surgery Medical Group Inc

50 N Perry St, Pontiac, MI 483422217

Phone: 2483385000

Surgical Affiliates Of California

50 N Perry St, Pontiac, MI 483422217

Phone: 2483385865

Secondary Practice Locations

27101 Schoenherr Rd Ste 200

Warren, MI 480884730

Phone: 5868066466

Practice Associates & Co-Workers

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

2 Associated Practitioners
Sharon Mcrorie , NP-C

Nurse Practitioner - Primary Care

NPI 1508396235

Nurse Practitioner (Certified)

Dr. Mohamad Arja , MD

Clinic/Center - Primary Care

NPI 1548299464

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location July 21, 2026

Registered at 1739 N SAGINAW ST STE 104A, LAPEER, MI 484467627 (Tel: 3132146345)

📍
Updated Business Mailing Address July 21, 2026

Registered at PO BOX 343, GRAND BLANC, MI 484800343 (Tel: 8107066126)

📍
Updated Practice Location August 28, 2019

Registered at 1375 N MAIN ST, LAPEER, MI 484461350 (Tel: 8106677350)

📍
Updated Business Mailing Address August 28, 2019

Registered at 130 KERCHEVAL AVE STE 210, GROSSE POINTE FARMS, MI 482363798

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2019

Pain Medicine (License #5101019835 in MI)

NPI Profile Active January 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2018

Registered at 27101 SCHOENHERR RD STE 200, WARREN, MI 480884730 (Tel: 5868066466)

📍
Updated Business Mailing Address January 05, 2018

Registered at 15855 19 MILE RD, CLINTON TOWNSHIP, MI 480383504

👤
Provider Name / Credentials Updated January 05, 2018

Recorded as MAYO MITSUYA, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2018

Surgery (License #5101019835 in MI)

NPI Profile Active April 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2012

Registered at 15855 19 MILE RD, CLINTON TOWNSHIP, MI 480383504 (Tel: 5862632973)

📍
Updated Business Mailing Address April 02, 2012

Registered at 15855 19 MILE RD, CLINTON TOWNSHIP, MI 480383504

👤
Provider Name / Credentials Updated April 02, 2012

Recorded as MAYO MITSUYA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2012

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 02, 2012

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: 1164788386
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2012
Last Update: July 21, 2026
Sole Proprietor: No

Mailing Address

Po Box 343

Grand Blanc, MI 484800343

Phone: 8107066126

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.