DR. DEREK MILLER DDS
NPI 1205366002
Dentist - Oral and Maxillofacial Surgery in Minneapolis, MN

Q: What is Derek Miller's NPI number?

The NPI number for Derek Miller is 1205366002. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Q: What is Derek Miller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Derek Miller was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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, 2017PECOS EnrolledAccepts Medicare Assignment

7-174 MOOS TOWER 515 DELAWARE ST. S, U OF M ORAL SURGERY, MINNEAPOLIS, MN 55455(701) 306-4741 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Derek Miller Dds NPPES

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

DR. DEREK MILLER DDS (NPI 1205366002) is an individual oral and maxillofacial surgery provider in Minneapolis, Minnesota, licensed in Minnesota (R674) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205366002

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. DEREK MILLERCredential: DDS

Location Address7-174 MOOS TOWER 515 DELAWARE ST. S, U OF M ORAL SURGERYMinneapolis, MN 55455

Mailing Address1342 Territory DrBismarck, ND 58503-0168 · (701) 306-4741

Phone(701) 306-4741

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 14, 2017

✔ NPI 1205366002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MN · R674

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

7-174 MOOS TOWER 515 DELAWARE ST. S, Minneapolis, MN 55455

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Derek Miller Dds 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 ID2365842457

PECOS Enrollment IDI20210610002518

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 55455 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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 Derek Miller's NPI number?

The NPI number for Derek Miller is 1205366002. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Derek Miller located?

Derek Miller practices at 7-174 Moos Tower 515 Delaware St. S U Of M Oral Surgery, Minneapolis, MN 55455. The listed phone number is (701) 306-4741.

What is Derek Miller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Derek Miller enrolled in Medicare?

Yes. Derek 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.

What insurance does Derek Miller accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Derek Miller 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 Derek Miller was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.