Individual provider Active NPI

Mitchell Mock

  • Family Medicine Physician
  • Burgettstown, PA
National Provider Identifier
1346694585
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD472808 Issued in PA
Practice address
560 Steubenville Pike
Burgettstown, PA 15021-8539
Phone
(304) 723-6804
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD472808 PA Primary

Addresses

Primary practice location

560 Steubenville Pike
Burgettstown, PA 15021-8539

Mailing address

651 Colliers Way
Ste 300
Weirton, WV 26062-5058
Phone (304) 797-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210223001330 PA Practitioner - Family Practice 6901192467 Reassigns benefits to 1 organization
I20210312000102 WV Practitioner - Family Practice 6901192467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians

Practice addresses (Care Compare)

560 Steubenville Pike
Burgettstown, PA 15021-8539
Phone (740) 266-9411

651 Colliers Way
Weirton, WV 26062-5053
Phone (304) 797-6557

Hospital & facility affiliations

  • Capital Health Home Care Home health agency, Wintersville, OH, CCN 367204
  • Weirton Medical Center Home Health Home health agency, Weirton, WV, CCN 517118
  • Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
35.62
Promoting interoperability
96
Improvement activities
40
Cost
70.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC CurrentSince Mar 8, 2021 Accepting new patients
WMC Physician Practices LLC CurrentSince Mar 8, 2021 Accepting new patients
Weirton Medical Center, Inc Past Accepting new patients

Locations

560 Steubenville Pike
Paris, PA 15021
Phone (724) 947-5350

651 Colliers Way
Ste 404
Weirton, WV 26062
Phone (304) 723-6804

651 Colliers Way
Weirton, WV 26062
Phone (304) 723-3007

651 Colliers Way
Ste 300
Weirton, WV 26062
Phone (304) 797-6404

651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1346694585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY",
            "address_2": "STE 300",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625058",
            "telephone_number": "304-797-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 STEUBENVILLE PIKE",
            "city": "BURGETTSTOWN",
            "state": "PA",
            "postal_code": "150218539",
            "telephone_number": "304-723-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "MITCHELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD472808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgettstown, PA

Sources for this page

Verify at the official NPI Registry.