DR. BRIAN MCMILLEN M.D.
NPI 1104147115
Pathology - Anatomic Pathology & Clinical Pathology in Newport, RI

Q: What is Brian Mcmillen's NPI number?

The NPI number for Brian Mcmillen is 1104147115. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Q: What is Brian Mcmillen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Brian Mcmillen was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 14, 2010PECOS Enrolled

11 FRIENDSHIP ST, NEWPORT, RI 02840(401) 444-5057 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Brian Mcmillen M.d. NPPES

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

DR. BRIAN MCMILLEN M.D. (NPI 1104147115) is an individual anatomic pathology & clinical pathology provider in Newport, Rhode Island, licensed in Rhode Island (MD19974) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1104147115

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. BRIAN MCMILLENCredential: M.D.

Location Address11 FRIENDSHIP STNewport, RI 02840-2299

Mailing Address445 E Ohio St Apt 1611Chicago, IL 60611-3337 · (617) 895-6936

Phone(401) 444-5057

Sole ProprietorYes

Medical School CMSBoston University School Of MedicineGraduated 2009

Enumeration DateJune 14, 2010

Last NPPES UpdateAugust 7, 2024

NPPES CertifiedAugust 7, 2024

✔ NPI 1104147115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in RI · MD19974✔ Licensed in IL · 125057121

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

11 FRIENDSHIP ST, Newport, RI 02840

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Secondary Practice Location 1

Location 1251 E Huron StChicago, IL 60611-2908 · Phone (617) 895-6936

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian Mcmillen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971724832

PECOS Enrollment IDI20180628000224, I20240923001921

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.

Medicare Billing Reassignments

Medicare enrollment records show Brian Mcmillen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Newport Hospital

Same address

Obstetrics & Gynecology

11 FRIENDSHIP ST
Newport, RI 02840

Reassigned Medicare billing, Rhode Island enrollment
72 clinicians in this Medicare group

NPI 1063632180 (401) 444-6905

Prima Care, PC

16 mi

Clinic/Center

277 PLEASANT ST, 4TH FLOOR
Fall River, MA 02721

Reassigned Medicare billing, Massachusetts enrollment
317 clinicians in this Medicare group

NPI 1265422596 (508) 676-3292

Lifespan Physician Group, Inc.

21 mi

General Practice

375 WAMPANOAG TRL
Riverside, RI 02915

Reassigned Medicare billing, Rhode Island enrollment
1,372 clinicians in this Medicare group

NPI 1215899869 (401) 649-4000

Rhode Island Hospital

22 mi

Multi-Specialty

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
358 clinicians in this Medicare group

NPI 1154537520 (401) 444-6905

The Miriam Hospital

25 mi

Multi-Specialty

164 SUMMIT AVE
Providence, RI 02906

Reassigned Medicare billing, Rhode Island enrollment
93 clinicians in this Medicare group

NPI 1598978744 (401) 444-5640

Lifespan Physician Group Of Massachusetts Inc

33 mi

Family Medicine

2007 BAY ST
Taunton, MA 02780

Reassigned Medicare billing, Massachusetts enrollment
547 clinicians in this Medicare group

NPI 1235957713 (774) 409-2009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,086 services357 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

503 services273 patients

Flow cytometry technique for dna or cell analysis, each additional marker 88185

Flow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.

345 services15 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

276 services96 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

160 services132 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

124 services75 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

60 services47 patients

Special stained specimen slides to examine tissue, initial procedure 88342

58 services33 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

35 services34 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

33 services17 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

29 services12 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

26 services19 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

22 services17 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

19 services19 patients

Flow cytometry technique for dna or cell analysis, first marker 88184

Flow cytometry is a technique used to examine microscopic particles, like cells or DNA. It employs a beam of light to detect and measure physical and chemical characteristics of these particles. The 'first marker' refers to a specific characteristic or feature used to identify a particular cell or particle.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number220020

Location795 Middle StreetFall River, MA 02721 · Bristol County

Emergency services

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220074

Location363 Highland AvenueFall River, MA 02720 · Bristol County

Emergency services Birthing friendly

Newport Hospital

Acute Care Hospitals · Newport, RI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410006

Location11 Friendship StreetNewport, RI 02840 · Newport County

Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02840 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

Other Providers at the Same Location NPPES 20

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

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