Deactivated NPI 1972598977 Deactivated / Inactive NPI Male Practitioner

Bruce Lever Mitchell , PA-C

Physician Assistant • Crystal Beach, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bruce Mitchell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2005

NPI Deactivation Date April 27, 2022

Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Bruce Mitchell, PA-C was a registered Physician Assistant practicing in Crystal Beach, TX. Throughout an active medical career spanning 17 years, Bruce Mitchell provided care at the practice location at 955 S. EAST RD until profile deactivation on 2022-04-27.

Historical Medicare Part B clinical services included injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

955 S. East Rd

Crystal Beach, TX 776501449

Telephone 4094542543

Fax 8665215608

Associated Practice Facility / Clinic

🏢 Crystal Beach Medical Clinic Llc Facility NPI 1114948825

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Crystal Beach, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Crystal Beach, TX (11140 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.3% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	217	43	$4.78	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	176	110	$122.90	$65.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	51	$38.10	$12.35
J1030 Injection, methylprednisolone acetate, 40 mg	55	44	$19.56	$6.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	38	$92.93	$39.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$286.25	$94.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$199.83	$93.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	301	64	$5.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	292	149	$120.21	$63.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	106	74	$30.00	$14.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	62	$95.00	$38.82
J1030 Injection, methylprednisolone acetate, 40 mg	82	65	$20.00	$6.29
J0696 Injection, ceftriaxone sodium, per 250 mg	53	14	$25.00	$0.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$180.00	$92.84
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$30.00	$18.65
G0008 Administration of influenza virus vaccine	15	15	$30.00	$16.78
20605 Aspiration and/or injection of medium joint or joint capsule	14	13	$105.00	$42.22
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$150.00	$65.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	426	79	$8.29	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	290	156	$144.95	$62.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	141	88	$34.51	$17.48
J1030 Injection, methylprednisolone acetate, 40 mg	109	82	$38.46	$6.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	55	$106.04	$37.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$238.16	$91.69
G0008 Administration of influenza virus vaccine	11	11	$32.18	$20.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	647	122	$9.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	460	184	$143.04	$61.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	225	131	$34.00	$21.51
J1030 Injection, methylprednisolone acetate, 40 mg	158	122	$40.00	$5.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	57	$102.00	$36.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$234.00	$90.88
J0696 Injection, ceftriaxone sodium, per 250 mg	42	13	$43.00	$0.66
G0008 Administration of influenza virus vaccine	27	25	$34.00	$25.64
J1040 Injection, methylprednisolone acetate, 80 mg	20	13	$76.00	$10.55
81002 Urinalysis, manual test	19	15	$37.00	$3.43
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$162.00	$62.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$259.00	$97.26

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA00871

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Career & Practice History Timeline

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

8 Historical Events

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NPI Profile Deactivated April 27, 2022

Record deactivated on April 27, 2022

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Updated Practice Location January 14, 2019

Registered at 2275 HWY 87, STE. 18A, CRYSTAL BEACH, TX 776501367 (Tel: 4096841185)

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NPI Profile Active January 12, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 12, 2009

Registered at 955 S. EAST RD, CRYSTAL BEACH, TX 776501449 (Tel: 4094542543)

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Updated Business Mailing Address January 12, 2009

Registered at PO BOX 1449, CRYSTAL BEACH, TX 776501449 (Tel: 4094542543)

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Provider Name / Credentials Updated January 12, 2009

Recorded as BRUCE MITCHELL, PA-C

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

Physician Assistant (License #PA00871 in TX)

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Initial NPI Registration & Enumeration September 15, 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: 1972598977

Entity Type:

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

Enumeration Date: September 15, 2005

Last Update: January 12, 2009

Deactivation Date: April 27, 2022

Update or Correct Profile

Mailing Address

Po Box 1449

Crystal Beach, TX 776501449

Phone: 4094542543

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.