Medicare Enrolled
Dr. Thomas Mitchell, MD
Endocrinology · Asheville, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Mitchell from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Mitchell
Dr. Thomas Mitchell is an endocrinology specialist in Asheville, NC, with 19 years of NPI registration. Based on federal Medicare data, Dr. Mitchell performed 4,512 Medicare services across 2,395 unique beneficiaries.
Between the years covered by Open Payments, Dr. Mitchell received a total of $6,933 from 31 pharmaceutical and/or device companies across 156 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in endocrinology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Mitchell is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 20% volume in NC
$6,933 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,512
Medicare services
Top 20% in NC for endocrinology
2,395
Unique beneficiaries
$28
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~237 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 1,380 | $19 | $25 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
562 | $86 | $180 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
462 | $9 | $50 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
248 | $16 | $72 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
232 | $9 | $50 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
203 | $8 | $11 |
| Continuous glucose monitoring with interpretation This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results. |
167 | $25 | $62 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
136 | $5 | $17 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
131 | $8 | $42 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
116 | $4 | $40 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
88 | $5 | $20 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
83 | $75 | $299 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
81 | $60 | $114 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
79 | $10 | $47 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
60 | $5 | $26 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
59 | $29 | $122 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
59 | $40 | $163 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
58 | $13 | $65 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
50 | $6 | $75 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
49 | $120 | $412 |
| Electrolyte blood test panel A blood test that measures the levels of sodium, potassium, chloride, and carbon dioxide to evaluate electrolyte balance. |
31 | $7 | $40 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
31 | $4 | $15 |
| New patient office visit, complex (60-74 min) | 28 | $151 | $502 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
26 | $5 | $80 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
24 | $36 | $386 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
23 | $8 | $29 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
19 | $130 | $304 |
| Ultrasound-guided fine needle aspiration biopsy, first lesion A biopsy procedure where a thin needle is used to collect tissue samples from a growth, guided by ultrasound imaging. This code applies to the first lesion or mass sampled during the session. |
15 | $92 | $350 |
| Liver function blood test panel | 12 | $8 | $40 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$6,933
Total received (2018-2024)
Avg $990/year across 7 years
Top 33% in NC for endocrinology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
156
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,150 (59.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,783 (40.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$610
2023
$465
2022
$342
2021
$263
2020
$3,158
2019
$1,596
2018
$498
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$162
Lilly USA, LLC
$83
CeQur Corporation
$67
Novo Nordisk Inc
$53
Corcept Therapeutics
$46
BETA BIONICS, INC.
$26
Xeris Pharmaceuticals, Inc.
$24
Tandem Diabetes Care, Inc.
$22
Dexcom, Inc.
$22
Astellas Pharma US Inc
$20
Insulet Corporation
$19
Nevro Corp.
$18
Antares Pharma, Inc.
$17
Bayer Healthcare Pharmaceuticals Inc.
$16
Medtronic, Inc.
$15
Top 3 companies account for 51.1% of 2024 payments
All-time payments by company (2018-2024) ›
Tandem Diabetes Care, Inc.
$4,191
Tosoh Bioscience, Inc.
$342
Medtronic, Inc.
$312
Janssen Pharmaceuticals, Inc
$284
Amgen Inc.
$270
Abbott Laboratories
$269
Insulet Corporation
$214
Lilly USA, LLC
$158
CeQur Corporation
$88
Novo Nordisk Inc
$87
Dexcom, Inc.
$78
Boehringer Ingelheim Pharmaceuticals, Inc.
$66
Medtronic MiniMed, Inc.
$64
Xeris Pharmaceuticals, Inc.
$62
AstraZeneca Pharmaceuticals LP
$53
Corcept Therapeutics
$46
Bayer HealthCare Pharmaceuticals Inc.
$45
Nevro Corp.
$37
Senseonics, Incorporated
$29
LifeScan, Inc.
$28
Gilead Sciences, Inc.
$27
BETA BIONICS, INC.
$26
SANOFI-AVENTIS U.S. LLC
$25
IBSA Pharma Inc.
$23
Astellas Pharma US Inc
$20
Antares Pharma, Inc.
$17
Bayer Healthcare Pharmaceuticals Inc.
$16
Alexion Pharmaceuticals, Inc.
$15
Ferring Pharmaceuticals Inc.
$15
Esperion Therapeutics, Inc.
$15
AbbVie Inc.
$14
Top 3 companies account for 69.9% of all-time payments
Associated products mentioned in payments ›
BAQSIMI · CeQur Simplicity · DEXCOM G6 CGM SYSTEM · Dexcom CGM · Dexcom G6 Transmitter · EVENITY · Eversense · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · GVOKE HYPOPEN · GVOKE PFS · Guardian Connect · HEMOLYSIS/WASH SOL (2000 mL) · HUMULIN · INVOKANA · InPen · JARDIANCE · Kerendia · Korlym · MINIMED 670G · MINIMED 770G · MINIMED 780G · MOUNJARO · Minimed 630G · Minimed 670G System · Minimed 770G System · NEXLETOL · Omnipod · OneTouch · Ozempic · Prolia · Repatha · Rybelsus · SOLIQUA 100/33 · SYNTHROID · Senza · Strensiq · TEPEZZA · Tirosint · Veozah · XARELTO · XYOSTED · ZEPBOUND · ZOMACTON · iLet Bionic Pancreas · t-slim insulin pump · t:slim X2 Insulin Pump with Control-IQ · t:slim X2 insulin pump
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (60%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in endocrinology and does not inherently indicate bias, but patients may wish to be aware.
Geographic Context
Endocrinologists within 10 mi
17
Per 100K population
6.3
County median income
$70,578
Nearest hospital
MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE
3.7 mi
3.7 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Mitchell is a clinical cardiology specialist, with above-average Medicare volume (top 20% in NC), with speaking/promotional industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Mitchell experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Mitchell performed 1,380 denosumab injection (prolia/xgeva) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Mitchell receive payments from pharmaceutical companies?
Yes. Dr. Mitchell received a total of $6,933 from 31 companies across 156 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Mitchell's costs compare to other endocrinologists in Asheville?
Dr. Mitchell's average Medicare payment per service is $28. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Mitchell) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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