KELLY L MCMILLIN MD
NPI 1053541672
Family Medicine in Gillette, WY

Active since July 16, 2009Opted out of Medicare · through Mar 1, 2027
709 W 8TH ST, SUITE 4, GILLETTE, WY 82716(307) 682-3333(307) 682-6723 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly L Mcmillin Md NPPES

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

KELLY L MCMILLIN MD (NPI 1053541672) is an individual family medicine provider in Gillette, Wyoming, licensed in Wyoming (8200A) and active in the NPI registry since July 2009. She has opted out of Medicare through March 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053541672
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY L MCMILLINCredential: MD
Location Address709 W 8TH ST, SUITE 4Gillette, WY 82716-4125
Mailing Address709 West 8th Street, Suite 4Gillette, WY 82716 · (307) 682-3333 · Fax (307) 682-6723
Fax(307) 682-6723
Sole ProprietorNo
Enumeration DateJuly 16, 2009
Last NPPES UpdateDecember 7, 2012
NPI 1053541672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WY · 8200A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
709 W 8TH ST, Gillette, WY 82716

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelly L Mcmillin Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2019 through March 1, 2027.

Opt-Out Effective DateMarch 1, 2019
Opt-Out In Effect ThroughMarch 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82716 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims62 services$3.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$44.31 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers11 claims668 services$0.81 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$26.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
709 W 8TH ST
GILLETTE, WY 82716
Chiropractor
709 W 8TH ST, SUITE 3
GILLETTE, WY 82716
Family Medicine
709 W 8TH ST, FAMILY MEDICAL CARE
GILLETTE, WY 82716
Family Medicine
709 W 8TH ST, FAMILY MEDICAL CARE
GILLETTE, WY 82716
Family Medicine
709 W 8TH ST, SUITE 4
GILLETTE, WY 82716

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 Kelly Mcmillin's NPI number?

The NPI number for Kelly Mcmillin is 1053541672. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Where is Kelly Mcmillin located?

Kelly Mcmillin practices at 709 W 8th St Suite 4, Gillette, WY 82716. The listed phone number is (307) 682-3333.

What is Kelly Mcmillin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Mcmillin enrolled in Medicare?

No. Kelly Mcmillin has opted out of Medicare through March 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelly Mcmillin was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.