Deactivated NPI 1255303376 Deactivated / Inactive NPI Male Practitioner

Dr. David Bruce Mitchell , MD

Radiology - Diagnostic Radiology • Olympia, WA

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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, Dr. David Mitchell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 02, 2006

NPI Deactivation Date June 10, 2019

Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. David Mitchell, MD was a registered Radiology - Diagnostic Radiology practicing in Olympia, WA. Throughout an active medical career spanning 13 years, Dr. Mitchell provided care at the practice location at 3417 ENSIGN RD NE until profile deactivation on 2019-06-10.

Historical Medicare Part B clinical services included x-ray of chest, 2 views, screening digital tomography of both breasts, screening mammography. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3417 Ensign Rd Ne

Olympia, WA 985075075

Telephone 3604934609

Fax 3604934603

Associated Practice Facility / Clinic

🏢 South Sound Radiologists Inc P S Facility NPI 1902990500

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Olympia, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.4 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

24 Specialists

Practicing in Olympia, WA (1076 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.6% 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 (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71046 X-ray of chest, 2 views	26	26	$35.00	$11.12
77063 Screening digital tomography of both breasts	22	22	$85.73	$56.04
77067 Screening mammography	22	22	$438.00	$139.19
71045 X-ray of chest, 1 view	21	19	$30.00	$9.32
74018 X-ray of abdomen, 1 view	13	12	$30.00	$9.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,782	38	$0.51	$0.12
71046 X-ray of chest, 2 views	538	525	$35.00	$10.96
71045 X-ray of chest, 1 view	481	427	$30.00	$9.16
77067 Screening mammography	344	344	$437.04	$138.61
77063 Screening digital tomography of both breasts	344	344	$85.73	$55.29
70450 Ct scan head or brain without contrast	257	254	$200.00	$42.34
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	245	28	$0.50	$0.33
74177 Ct scan of abdomen and pelvis with contrast	185	180	$313.20	$92.08
77067 Screening mammography	170	170	$117.99	$38.06
77080 Dxa bone density measurement of hip, pelvis, spine	145	145	$250.00	$42.29
74176 Ct scan of abdomen and pelvis without contrast	113	113	$298.80	$87.38
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	104	34	$20.00	$7.15
71275 Ct scan of blood vessels of chest with contrast	90	90	$350.00	$90.88
73560 X-ray of knee, 1-2 views	89	79	$97.20	$8.50
73030 X-ray of shoulder, minimum of 2 views	88	80	$104.40	$9.41
73502 X-ray of hip, 2-3 views	81	78	$36.00	$11.36
71250 Ct scan of chest without contrast	76	75	$250.00	$57.83
72100 X-ray of lower and sacral spine, 2-3 views	70	68	$123.60	$10.99
73630 X-ray of foot, minimum of 3 views	66	60	$97.20	$8.39
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	64	64	$76.80	$22.12
73562 X-ray of knee, 3 views	64	56	$106.80	$9.59
71260 Ct scan of chest with contrast	63	63	$250.00	$60.21
76705 Limited ultrasound scan of abdomen	58	58	$200.00	$29.27
74018 X-ray of abdomen, 1 view	57	51	$30.00	$9.20
77080 Dxa bone density measurement of hip, pelvis, spine	52	51	$50.00	$10.23
77063 Screening digital tomography of both breasts	52	52	$64.50	$29.97
73130 X-ray of hand, minimum of 3 views	47	42	$50.00	$8.86
73610 X-ray of ankle, minimum of 3 views	46	42	$56.00	$8.86
72148 MRI scan of lower spinal canal	44	44	$275.00	$74.42
76770 Complete ultrasound scan behind abdominal cavity	44	43	$126.00	$37.14
93880 Ultrasound of both sides of head and neck blood flow	42	42	$103.20	$40.32
73110 X-ray of wrist, minimum of 3 views	38	35	$97.20	$8.72
70496 Ct scan of blood vessels of head with contrast	38	38	$302.40	$87.06
70498 Ct scan of blood vessels of neck with contrast	37	37	$304.80	$83.90
72125 Ct scan of upper spine without contrast	37	37	$250.00	$53.39
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	35	35	$85.73	$55.54
70551 Mri scan of brain without contrast	33	33	$275.00	$69.83
76700 Ultrasound of abdomen	31	31	$200.00	$40.59
93970 Ultrasound study of arm or leg veins with compression and maneuvers	29	29	$116.40	$34.62
73721 Mri scan of leg joint without contrast	28	27	$250.00	$63.04
71101 X-ray of ribs on side of body, minimum of 3 views	27	27	$130.80	$13.38
70553 Mri scan of brain before and after contrast	24	24	$425.00	$115.04
77065 Diagnostic mammography of 1 breast	24	24	$422.25	$136.99
62323 Injection of substance into lower spine canal using imaging guidance	23	23	$848.43	$248.08
74019 X-ray of abdomen, 2 views	23	23	$38.00	$11.71
72170 X-ray of pelvis, 1-2 views	23	23	$96.00	$8.86
72110 X-ray of lower and sacral spine, minimum of 4 views	22	22	$169.20	$15.45
73590 X-ray of lower leg, 2 views	21	18	$96.00	$8.50
76642 Limited ultrasound scan of 1 breast	21	17	$106.95	$34.36
77066 Diagnostic mammography of both breasts	20	20	$528.00	$172.92
77066 Diagnostic mammography of both breasts	20	20	$175.00	$50.70
76705 Limited ultrasound scan of abdomen	20	20	$332.00	$93.21
72050 X-ray of upper spine, 4 or 5 views	20	20	$166.80	$15.92
76536 Ultrasound of head and neck	20	20	$276.00	$28.34
74022 Complete x-ray study of abdomen with single x-ray of chest	18	18	$147.60	$16.31
77065 Diagnostic mammography of 1 breast	17	17	$124.00	$41.06
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	17	15	$70.80	$24.82
73060 X-ray of upper arm, minimum of 2 views	17	17	$103.20	$8.50
72146 Mri scan of middle spinal canal	17	17	$300.00	$74.34
72131 CT scan of lower spine	17	17	$250.00	$49.10
73522 X-ray of both hips, 3-4 views	16	16	$48.00	$15.24
76870 Ultrasound scan of scrotum	16	16	$303.60	$30.59
72070 X-ray of middle spine, 2 views	15	15	$120.00	$11.39
71250 Ct scan of chest without contrast	15	15	$560.80	$153.68
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$346.80	$100.95
70486 CT scan of face	15	15	$250.00	$42.40
76700 Ultrasound of abdomen	15	15	$292.40	$72.19
76642 Limited ultrasound scan of 1 breast	15	14	$269.00	$89.75
73070 X-ray of elbow, 2 views	14	13	$50.00	$8.17
73700 Ct scan of leg without contrast	14	14	$250.00	$50.46
76536 Ultrasound of head and neck	13	13	$373.00	$118.74
76830 Ultrasound pelvis through vagina	13	13	$313.20	$35.04
77002 Fluoroscopic guidance for needle placement	13	13	$311.00	$95.34
72040 X-ray of upper spine, 2-3 views	13	13	$115.20	$11.34
74018 X-ray of abdomen, 1 view	13	12	$79.85	$26.12
72192 Ct scan pelvis	13	13	$250.00	$54.85
73221 Mri scan of arm joint without contrast	12	12	$250.00	$68.64
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	12	11	$107.00	$58.63
72141 MRI scan of upper spinal canal	11	11	$300.00	$74.69
73090 X-ray of forearm, 2 views	11	11	$50.00	$8.49
76856 Complete ultrasound scan of pelvis	11	11	$313.20	$34.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,646	34	$0.51	$0.12
A9585 Injection, gadobutrol, 0.1 ml	880	11	$1.12	$0.37
71020 X-ray of chest, 2 views, front and side	443	434	$33.00	$10.82
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	411	411	$409.68	$136.25
77063 Screening digital tomography of both breasts	407	407	$85.73	$55.32
71010 X-ray of chest, 1 view, front	356	321	$27.00	$9.09
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	216	216	$106.92	$36.60
70450 Ct scan head or brain without contrast	208	205	$161.00	$42.19
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	201	25	$0.51	$0.25
74177 Ct scan of abdomen and pelvis with contrast	124	123	$275.00	$90.98
77080 Dxa bone density measurement of hip, pelvis, spine	121	121	$248.36	$40.75
74176 Ct scan of abdomen and pelvis without contrast	91	91	$263.00	$87.15
73502 X-ray of hip, 2-3 views	79	77	$34.00	$11.15
71020 X-ray of chest, 2 views, front and side	79	75	$89.20	$26.97
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	77	27	$20.00	$6.56
73560 X-ray of knee, 1-2 views	66	62	$28.00	$8.40
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	63	63	$85.73	$55.60
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	58	52	$395.10	$133.73
71275 Ct scan of blood vessels of chest with contrast	58	58	$290.00	$89.79
73030 X-ray of shoulder, minimum of 2 views	56	53	$30.00	$9.49
71250 Ct scan of chest without contrast	54	54	$153.00	$50.55
77063 Screening digital tomography of both breasts	53	53	$89.00	$30.03
72100 X-ray of lower and sacral spine, 2-3 views	51	50	$35.00	$11.24
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	51	51	$67.00	$21.68
77080 Dxa bone density measurement of hip, pelvis, spine	45	45	$52.00	$10.12
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral	43	43	$490.88	$166.80
76642 Limited ultrasound scan of 1 breast	40	37	$269.00	$87.42
74000 X-ray of abdomen, single view	40	37	$27.00	$9.11
70551 Mri scan of brain without contrast	39	39	$352.00	$73.27
72125 Ct scan of upper spine without contrast	38	38	$161.00	$53.20
71260 Ct scan of chest with contrast	35	35	$188.00	$60.74
73630 X-ray of foot, minimum of 3 views	35	32	$25.00	$8.39
73130 X-ray of hand, minimum of 3 views	33	30	$26.00	$8.77
76705 Limited ultrasound scan of abdomen	32	32	$88.00	$29.37
73110 X-ray of wrist, minimum of 3 views	32	30	$26.00	$8.76
76770 Complete ultrasound scan behind abdominal cavity	31	31	$406.00	$114.65
73610 X-ray of ankle, minimum of 3 views	29	28	$26.00	$8.75
93880 Ultrasound of both sides of head and neck blood flow	29	29	$90.00	$38.50
72148 MRI scan of lower spinal canal	28	27	$329.00	$74.27
82565 Blood creatinine level	27	27	$35.00	$6.67
76700 Ultrasound of abdomen	26	26	$324.04	$93.15
76770 Complete ultrasound scan behind abdominal cavity	26	26	$111.00	$36.57
73564 X-ray of knee, 4 or more views	25	20	$35.00	$11.24
93970 Ultrasound study of arm or leg veins with compression and maneuvers	25	25	$105.00	$34.43
70553 Mri scan of brain before and after contrast	24	24	$451.21	$114.47
76700 Ultrasound of abdomen	23	23	$122.00	$39.13
74022 Complete x-ray study of abdomen with single x-ray of chest	22	22	$48.00	$16.12
62323 Injection of substance into lower spine canal using imaging guidance	22	22	$746.00	$244.95
73562 X-ray of knee, 3 views	22	21	$30.00	$9.50
76536 Ultrasound of head and neck	21	21	$373.00	$118.05
72141 MRI scan of upper spinal canal	20	20	$329.00	$70.86
74020 Imaging of abdomen	20	20	$40.00	$13.62
73502 X-ray of hip, 2-3 views	19	19	$115.42	$36.77
71101 X-ray of ribs on side of body, minimum of 3 views	19	19	$40.00	$13.61
74178 Ct scan of abdomen and pelvis before and after contrast	19	19	$304.00	$100.58
76642 Limited ultrasound scan of 1 breast	19	19	$102.00	$34.04
70496 Ct scan of blood vessels of head with contrast	18	18	$264.00	$87.49
74000 X-ray of abdomen, single view	18	18	$75.00	$22.64
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$93.33	$29.83
73030 X-ray of shoulder, minimum of 2 views	18	17	$91.39	$28.05
72170 X-ray of pelvis, 1-2 views	18	18	$28.00	$8.76
70486 CT scan of face	17	17	$172.00	$41.19
73562 X-ray of knee, 3 views	17	15	$109.06	$34.39
76830 Ultrasound pelvis through vagina	17	17	$386.00	$124.07
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	17	17	$105.53	$38.89
73630 X-ray of foot, minimum of 3 views	17	17	$75.82	$21.93
70498 Ct scan of blood vessels of neck with contrast	16	16	$263.00	$83.12
72070 X-ray of middle spine, 2 views	16	16	$34.00	$11.24
76830 Ultrasound pelvis through vagina	15	15	$104.00	$31.59
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral	15	15	$134.40	$48.39
73060 X-ray of upper arm, minimum of 2 views	14	14	$26.00	$8.40
73221 Mri scan of arm joint without contrast	14	14	$317.00	$61.35
76705 Limited ultrasound scan of abdomen	14	14	$332.00	$87.30
77002 Fluoroscopic guidance for needle placement	13	12	$311.00	$93.26
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	13	12	$2031.00	$640.00
76856 Complete ultrasound scan of pelvis	13	13	$379.00	$105.52
73700 Ct scan of leg without contrast	13	12	$152.00	$49.67
72131 CT scan of lower spine	13	13	$151.00	$49.05
72050 X-ray of upper spine, 4 or 5 views	12	12	$48.00	$15.76
76856 Complete ultrasound scan of pelvis	12	12	$103.00	$32.65
73522 X-ray of both hips, 3-4 views	11	11	$45.00	$15.04
73590 X-ray of lower leg, 2 views	11	11	$26.00	$8.42
73721 Mri scan of leg joint without contrast	11	11	$314.00	$68.07
76706 Ultrasound scan of abdominal aorta	11	11	$84.00	$27.56
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	11	11	$107.00	$35.81
72040 X-ray of upper spine, 2-3 views	11	11	$35.00	$11.25
77059 MRI scan of both breasts with contrast	11	11	$1671.00	$506.96
73110 X-ray of wrist, minimum of 3 views	11	11	$75.09	$23.37

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License WA MD00044913

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Practice Associates & Co-Workers

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

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Specialist

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Dr. Jabi Shriki , MD

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated June 10, 2019

Record deactivated on June 10, 2019

✅

NPI Profile Active March 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 23, 2010

Registered at 3417 ENSIGN RD NE, OLYMPIA, WA 985075075 (Tel: 3604934609)

📍

Updated Business Mailing Address March 23, 2010

Registered at 3417 ENSIGN RD NE, OLYMPIA, WA 985075075 (Tel: 3604934609)

👤

Provider Name / Credentials Updated March 23, 2010

Recorded as DAVID MITCHELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2010

Radiology (License #MD00044913 in WA)

🟢

Initial NPI Registration & Enumeration February 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1255303376

Entity Type:

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

Enumeration Date: February 02, 2006

Last Update: March 23, 2010

Deactivation Date: June 10, 2019

Update or Correct Profile

Mailing Address

3417 Ensign Rd Ne

Olympia, WA 985075075

Phone: 3604934609

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.