Medicare Enrolled
Dr. Michael Mitchell, MD
Orthopedic Surgery · Hendersonville, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed engagement
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. Michael Mitchell is an orthopedic surgery specialist in Hendersonville, NC, with 19 years of NPI registration. Based on federal Medicare data, Dr. Mitchell performed 2,678 Medicare services across 1,657 unique beneficiaries.
Between the years covered by Open Payments, Dr. Mitchell received a total of $112,457 from 23 pharmaceutical and/or device companies across 99 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). 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 22% volume in NC
$112,457 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,678
Medicare services
Top 22% in NC for orthopedic surgery
1,657
Unique beneficiaries
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~141 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 |
|---|---|---|---|
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
842 | $18 | $50 |
| 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. |
364 | $61 | $117 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
243 | $28 | $136 |
| Manual therapy (hands-on treatment), per 15 min | 150 | $15 | $47 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
101 | $37 | $191 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
87 | $24 | $125 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
87 | $78 | $189 |
| 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. |
87 | $82 | $178 |
| Electrical stimulation therapy Application of electrical stimulation to one or more body areas as part of a therapy plan. This procedure is used for indications other than wound care. |
74 | $7 | $27 |
| Functional capacity test, per 15 minutes A test or measurement to assess functional capacity. The service is billed for each 15-minute increment. |
70 | $21 | $145 |
| 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. |
57 | $113 | $271 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
51 | $8 | $20 |
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
47 | $24 | $55 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
44 | $41 | $85 |
| X-ray of entire middle and lower spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the entire middle and lower spine to visualize the bones and structures in these areas. |
42 | $52 | $405 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
41 | $25 | $132 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
38 | $2 | $38 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
37 | $123 | $1,680 |
| Evaluation for physical therapy, typically 20 minutes | 35 | $74 | $112 |
| Spinal stabilization device, each additional segment Placement of a stabilizing device on an additional segment of a broken spine bone. This code is used for each extra segment treated beyond the initial one. |
28 | $162 | $6,500 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
23 | $61 | $500 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
23 | $112 | $200 |
| Spinal fracture stabilization with imaging guidance A procedure to stabilize a broken bone in the middle spine by placing a device, using imaging guidance during the treatment. |
22 | $372 | $7,500 |
| Spinal stabilization device placement Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device. |
21 | $316 | $7,500 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
20 | $93 | $393 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
17 | $167 | $2,063 |
| Application of whirlpool therapy | 15 | $9 | $27 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
12 | $622 | $6,034 |
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.
0.6% high complexity
2.2% medium
97.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$112,457
Total received (2018-2024)
Avg $16,065/year across 7 years
Top 7% in NC for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
99
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.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$105,530 (93.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,928 (6.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$564
2023
$30,322
2022
$20,437
2021
$6,887
2020
$1,316
2019
$2,853
2018
$50,078
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Arteriocyte Medical Systems, Inc.
$206
Boston Scientific Corporation
$101
Globus Medical, Inc.
$59
Spine Wave, Inc.
$57
Smith+Nephew, Inc.
$55
Inari Medical, Inc.
$41
Amgen Inc.
$31
KYOCERA MEDICAL TECHNOLOGIES, INC.
$14
Top 3 companies account for 64.9% of 2024 payments
All-time payments by company (2018-2024) ›
DeGen Medical, Inc.
$105,530
Globus Medical, Inc.
$3,006
Relievant Medsystems, Inc.
$1,474
Arteriocyte Medical Systems, Inc.
$697
Amgen Inc.
$294
Smith+Nephew, Inc.
$213
RTI Surgical, Inc.
$176
Spineart USA Inc
$148
NuVasive, Inc.
$141
Zimmer Biomet Holdings, Inc.
$117
Boston Scientific Corporation
$101
Spine Wave, Inc.
$101
Surgalign Spine Technologies, Inc.
$101
SI-BONE, Inc.
$67
Stryker Corporation
$53
Alphatec Spine, Inc
$50
HOSPIRA, INC.
$44
Inari Medical, Inc.
$41
Bioventus LLC
$40
Baxter Healthcare
$23
Augmedics Inc.
$16
KYOCERA MEDICAL TECHNOLOGIES, INC.
$14
Horizon Pharma plc
$11
Top 3 companies account for 97.8% of all-time payments
Associated products mentioned in payments ›
ALIF · AUGMENTA · Allograft · Augmenta · COALITION MIS · COHERE · CREO · DISPOSABLES - OTHER · Durolane · ELSA · EVENITY · Excelsius - GPS · Excelsius3D Imaging System · FLOWTRIEVER CATHETER · Intracept · Kypho · L360 Thigh System · LEVA SPACER SYSTEM · MARS 3V · MARS 3V Lateral Retractor · Magellan · Mobi-C · OSTENE · Other - Miscellaneous · PENNSAID · PERLA TL · PICO · PICO 7 · PICO7 · Prolia · RISE-L · S · SABLE · SECURE-C · SI-LOK Select · SlMMETRY · THROMBIN · THROMBIN-JMI · Xvision · iFuse Implant
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 →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 7% for orthopedic surgery in NC.
Geographic Context
Orthopedic surgeons within 10 mi
62
Per 100K population
52.8
County median income
$67,623
Nearest hospital
PARDEE HOSPITAL HENDERSON COUNTY
0.0 mi
0.0 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 22% in NC), with mixed engagement industry engagement in the top 7% of NC peers, 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 physical therapy exercise, per 15 min?
Based on Medicare claims data, Dr. Mitchell performed 842 physical therapy exercise, per 15 min 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 $112,457 from 23 companies across 99 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 orthopedic surgeons in Hendersonville?
Dr. Mitchell's average Medicare payment per service is $46. 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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