DR. EDROY L MCMILLAN M.D.
NPI 1063415347
Obstetrics & Gynecology in Mansfield, OH

Q: What is Edroy Mcmillan's NPI number?

The NPI number for Edroy Mcmillan is 1063415347. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is Edroy Mcmillan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Edroy Mcmillan was last updated on May 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment

83.45/100

CMS Quality Rating

500 S TRIMBLE RD, MANSFIELD, OH 44906(419) 756-6000(419) 756-8721 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2021, Aug 16, 2018 (2 updates tracked since 2018).

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About Dr. Edroy L Mcmillan M.d. NPPES

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

DR. EDROY L MCMILLAN M.D. (NPI 1063415347) is an individual obstetrics & gynecology provider in Mansfield, Ohio, licensed in Ohio (35061717) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and is a graduate of Loma Linda University School Of Medicine (1987).

NPPES Registry Identity

NPI1063415347

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. EDROY L MCMILLANCredential: M.D.

Location Address500 S TRIMBLE RDMansfield, OH 44906-4103

Mailing Address500 S Trimble RdMansfield, OH 44906-4103 · (419) 756-6000 · Fax (419) 756-1774

Phone(419) 756-6000

Fax(419) 756-8721

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1987

Enumeration DateMay 31, 2005

Last NPPES UpdateMay 3, 20212 updates tracked since enumeration

NPPES CertifiedMay 3, 2021

✔ NPI 1063415347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OH · 35061717

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

500 S TRIMBLE RD, Mansfield, OH 44906

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Other Identifiers 1

Medicaid0828831OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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. Edroy L 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 ID4486688173

PECOS Enrollment IDI20110125001136

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 14

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, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

2,580 services39 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

152 services152 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

152 services152 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.

96 services82 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

95 services95 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

81 services81 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

52 services52 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

43 services39 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

34 services33 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

25 services24 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

20 services17 patients

Detection test for gardnerella vaginalis (bacteria), direct probe technique 87510

This test helps find a certain type of bacteria called Gardnerella vaginalis. The direct probe technique uses a small sample from your body. This sample is then examined in a lab to see if this bacteria is present. This helps in identifying and treating any related health issues.

12 services12 patients

Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique 87660

This test helps identify a common microscopic organism that can cause discomfort. It uses a direct probe technique, which involves analyzing a small sample from your body. The test detects the organism's unique genetic material (nucleic acid), confirming its presence.

12 services12 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360118

Location335 Glessner AvenueMansfield, OH 44903 · Richland County

Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360365

Location715 Richland MallOntario, OH 44906 · Richland County

Emergency services Birthing friendly

Galion Community Hospital

Critical Access Hospitals · Galion, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number361325

Location269 Portland Way SouthGalion, OH 44833 · Crawford County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44906 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

83.45/100

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

Scored as part of a group practice

Quality

86.58

Improvement Activities

Cost

62.74

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Other Providers at the Same Location NPPES 10

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

DR. ALLISON PRUETT M.D.

Obstetrics & Gynecology