Dr. Brian Mitchell, DO
104 27th Ave Se, Puyallup, WA 98374 • +1-607-555-8700
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Puyallup Percentiles
NPI #1942491196 • CBSA Regional • Otolaryngology
Operating out of Puyallup, WA (104 27th Ave Se), Otolaryngology clinician Dr. Brian Mitchell, DO (accredited MD/DO training, 1994) maintains a focused low-volume boutique caseload (14.29th Puyallup percentile) (35.35th WA percentile; Z-score -0.43σ across 871 documented services) with sub-specialty concentration in 73 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Mitchell (averaging 2.4 services per beneficiary), 99213 (Focused Ear, Nose, Sinus & Throat Examination) represents 34% of tracked volume (296 encounters), paired with 31231 (218x).
Direct cash-pay transparency modeling sets Dr. Mitchell's baseline new-consult rate near $222.00 in Puyallup, WA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 19-minute average reception wait).
Patients evaluating Dr. Brian Mitchell in ZIP 98374 note 32 years of post-doctoral tenure (null, 1994) alongside 2.4 annual CMS procedures per patient.
Compared against Puyallup, WA Otolaryngology peers
871 annual services across 365 beneficiaries
Standard deviations from WA Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 296 | 14.29th | $244 – $334 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 218 | 14.29th | $490 – $671 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 165 | 13.29th | $357 – $490 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 113 | 19.29th | $172 – $236 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 78 | 16.29th | $154 – $210 |
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Dr. Brian Mitchell, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mitchell National Provider Identifier | NPI #1942491196 (DO) | CMS NPPES Registry (98374) |
| Dr. Mitchell Puyallup CMS Volume Rank | 14.29th Pct (871 CMS svcs; Z -0.427σ) | CMS Medicare Part B (WA Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Puyallup, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 19 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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