DR. TOD ALAN MCMILLAN M.D.
NPI 1023014347
Ophthalmology - Retina Specialist in Knoxville, TN

Q: What is Tod Mcmillan's NPI number?

The NPI number for Tod Mcmillan is 1023014347. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Tod Mcmillan's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Tod Mcmillan was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment

96.31/100

CMS Quality Rating

1124 E WEISGARBER RD, STE 207, KNOXVILLE, TN 37909(865) 588-0811(865) 584-2153 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2020, Apr 11, 2017 (2 updates tracked since 2017).

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About Dr. Tod Alan Mcmillan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TOD ALAN MCMILLAN M.D. (NPI 1023014347) is an individual retina specialist in Knoxville, Tennessee, licensed in Tennessee (29185) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (1990).

NPPES Registry Identity

NPI1023014347

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. TOD ALAN MCMILLANCredential: M.D.

Location Address1124 E WEISGARBER RD, STE 207Knoxville, TN 37909-2686

Mailing Address320 Prosperity DrKnoxville, TN 37923-4709 · (423) 756-1512

Phone(865) 588-0811

Fax(865) 584-2153

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1990

Enumeration DateJune 22, 2005

Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration

NPPES CertifiedDecember 3, 2020

✔ NPI 1023014347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in TN · 29185

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

1124 E WEISGARBER RD, Knoxville, TN 37909

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Other Identifiers 3

Medicaid006303447VA

Medicaid3811425TN

Other180028977TN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tod Alan Mcmillan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395647812

PECOS Enrollment IDI20040124000225

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

20,880 services37 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

1,693 services432 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,457 services213 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

510 services65 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

347 services293 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

340 services243 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

334 services272 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

165 services124 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

56 services51 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

51 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

28 services25 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.12

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER TOBIN TAYLOR MD

Ophthalmology

1124 E WEISGARBER RD, STE 100
KNOXVILLE, TN 37909

Knox County (865) 584-0905

GREGORY S EVERETT OD

Optometrist

1124 E WEISGARBER RD
KNOXVILLE, TN 37909

Knox County (865) 584-0905

DR. DEANNA R YEN M.D.

Pediatrics

1124 E WEISGARBER RD, SUITE 200
KNOXVILLE, TN 37909

Knox County (865) 588-3525

DR. LESLIE B CUNNINGHAM MD

Ophthalmology

1124 E WEISGARBER RD, STE 100
KNOXVILLE, TN 37909

Knox County (865) 584-0905

DONALD E. LARMEE M.D.

Pediatrics

1124 E WEISGARBER RD, SUITE 200
KNOXVILLE, TN 37909

Knox County (865) 588-3525

DR. CHARLES ALLYN HILDEBRAND OD

Optometrist

1124 E WEISGARBER RD, STE 104
KNOXVILLE, TN 37909

Knox County (865) 584-0905

DR. JOHN CHARLES HOSKINS M.D.

Ophthalmology

1124 E WEISGARBER RD, STE 207
KNOXVILLE, TN 37909

Knox County (865) 588-0811

KNOXVILLE EYE ANESTHESIA LLC

Nurse Anesthetist, Certified Registered

1124 E WEISGARBER RD, SUITE 110
KNOXVILLE, TN 37909

Knox County (865) 588-1037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tod Mcmillan's NPI number?

The NPI number for Tod Mcmillan is 1023014347. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Tod Mcmillan located?

Tod Mcmillan practices at 1124 E Weisgarber Rd Ste 207, Knoxville, TN 37909. The listed phone number is (865) 588-0811.

What is Tod Mcmillan's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Tod Mcmillan enrolled in Medicare?

Yes. Tod Mcmillan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tod Mcmillan accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Tod Mcmillan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tod Mcmillan was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.