DR. KENNETH MARC MILLER M.D.
NPI 1164424099
Internal Medicine - Gastroenterology in New York, NY

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
311 E 79TH ST, NEW YORK, NY 10021(212) 996-6633(212) 996-6677 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Marc Miller M.d. NPPES

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

DR. KENNETH MARC MILLER M.D. (NPI 1164424099) is an individual gastroenterology provider in New York, New York, licensed in New York (210303) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1995).

NPPES Registry Identity

NPI1164424099
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. KENNETH MARC MILLERCredential: M.D.
Location Address311 E 79TH STNew York, NY 10021-0903
Mailing AddressPo Box 780217Maspeth, NY 11378-0217 · (718) 639-8827 · Fax (718) 639-8811
Fax(212) 996-6677
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1995
Enumeration DateAugust 11, 2005
Last NPPES UpdateMarch 24, 2008
NPI 1164424099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 210303
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
311 E 79TH ST, New York, NY 10021

Other Identifiers 8

Medicare UPING58017NY
Other1V7471NY · Empire Blue Cross Blue Sh
OtherMK0303NY · Atlantis
OtherP2479763NY · Oxford Health Plan
Other4C0580NY · Health Plan Of New York
Other2595177NY · Ghi
Medicaid02133062NY
Medicare PIN1V747NY

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. Kenneth Marc Miller 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 ID1951466861
PECOS Enrollment IDI20100922000815
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 9

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.

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.
428 services266 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
266 services263 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
190 services189 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
173 services169 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
132 services132 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.
76 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
68%1,154 patients2/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers15 claims715 services$4.66 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
3 suppliers11 claims102 services$5.53 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers13 claims960 services$0.23 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 2

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

Internal Medicine (Gastroenterology)
311 E 79TH ST, SUITE 2A
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
311 E 79TH ST
NEW YORK, NY 10021

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 Kenneth Miller's NPI number?

The NPI number for Kenneth Miller is 1164424099. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Kenneth Miller located?

Kenneth Miller practices at 311 E 79th St, New York, NY 10021. The listed phone number is (212) 996-6633.

What is Kenneth Miller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kenneth Miller enrolled in Medicare?

Yes. Kenneth Miller 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.

When was this NPI record last updated?

The NPPES record for Kenneth Miller was last updated on March 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.