DR. MALCOLM BAKER MIRACLE D.M.D.
NPI 1124184056
Dentist - General Practice in Florence, KY

Active since December 28, 2006PECOS Enrolled
7607 DIXIE HWY, FLORENCE, KY 41042(859) 655-6100 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2020, Mar 30, 2017 (2 updates tracked since 2017).

About Dr. Malcolm Baker Miracle D.m.d. NPPES

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

DR. MALCOLM BAKER MIRACLE D.M.D. (NPI 1124184056) is an individual general practice provider in Florence, Kentucky, licensed in Kentucky (6261) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124184056
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MALCOLM BAKER MIRACLECredential: D.M.D.
Location Address7607 DIXIE HWYFlorence, KY 41042-2644
Mailing Address1401 Madison AveCovington, KY 41011-3313 · (859) 655-6100 · Fax (859) 655-6148
Sole ProprietorYes
Enumeration DateDecember 28, 2006
Last NPPES UpdateMay 4, 20202 updates tracked since enumeration
NPPES CertifiedMay 4, 2020
NPI 1124184056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KY · 6261
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

7607 DIXIE HWY, Florence, KY 41042

Other Identifiers 3

Medicaid60062619KY
Other62610KY · Delta Dental
OtherE973KY · Anthem Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Malcolm Baker Miracle D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

Dentist (General Practice)
7607 DIXIE HWY
FLORENCE, KY 41042
Clinic/Center (Federally Qualified Health Center (FQHC))
7607 DIXIE HWY
FLORENCE, KY 41042
Family Medicine
7607 DIXIE HWY
FLORENCE, KY 41042
Dentist (General Practice)
7607 DIXIE HWY
FLORENCE, KY 41042
Pediatrics
7607 DIXIE HWY
FLORENCE, KY 41042
Nurse Practitioner (Family)
7607 DIXIE HWY
FLORENCE, KY 41042
Nurse Practitioner (Family)
7607 DIXIE HWY
FLORENCE, KY 41042
Nurse Practitioner (Psychiatric/Mental Health)
7607 DIXIE HWY
FLORENCE, KY 41042

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 Malcolm Miracle's NPI number?

The NPI number for Malcolm Miracle is 1124184056. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Malcolm Miracle located?

Malcolm Miracle practices at 7607 Dixie Hwy, Florence, KY 41042. The listed phone number is (859) 655-6100.

What is Malcolm Miracle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Malcolm Miracle enrolled in Medicare?

Yes. Malcolm Miracle is registered in the Medicare PECOS enrollment system.

What insurance does Malcolm Miracle accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Malcolm Miracle 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 Malcolm Miracle was last updated on May 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.