DONALD MILLER MD
NPI 1235110743
Internal Medicine - Hematology & Oncology in Louisville, KY


Quality Rating: 73.19 out of 100 score

NPI Status: Active since November 10, 2005

Contact Information

529 S JACKSON ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 562-4370
Fax: (502) 562-4373

Get Directions Write a Review

  • Individual
  • Male
  • Internal Medicine
  • Hematology & Oncology
  • Accepts Insurance

About DONALD MILLER

This page provides the complete NPI Profile along with additional information for Donald Miller, an internist established in Louisville, Kentucky with a medical specialization in Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1235110743 assigned on November 2005. The practitioner's primary taxonomy code is 207RH0003X with license number 35493 (KY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1235110743
Provider Name
DONALD MILLER MD
Gender
Male
Entity Type
Individual
Location Address
529 S JACKSON ST LOUISVILLE, KY 40202
Location Phone
(502) 562-4370
Location Fax
(502) 562-4373
Mailing Address
501 E BROADWAY SUITE 220 LOUISVILLE, KY 40202
Mailing Phone
(502) 589-4856
Mailing Fax
(502) 562-4373
Is Sole Proprietor?
No
Enumeration Date
11-10-2005
Last Update Date
09-26-2008
Code Navigator

An internist like Donald Miller is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
License No.
35493
License State
KY
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C73763MEDICARE UPIN (02)KY 
64002025MEDICAID (05)KY 
00280075MEDICARE PIN (08)KY 
0547809MEDICARE ID-TYPE UNSPECIFIED (04)KY 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 398 times for 131 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 73.19, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 73.19 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 58.74

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 51.91

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 51.91

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for DONALD MILLER MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235110743, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 2 + 1 + 0 + 7 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1235110743.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
529 S JACKSON ST, STE 417
LOUISVILLE, KY 40202
Internal Medicine (Hematology & Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Internal Medicine (Hematology & Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Psychologist
529 S JACKSON ST
LOUISVILLE, KY 40202
Internal Medicine (Hematology & Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Obstetrics & Gynecology (Gynecologic Oncology)
529 S JACKSON ST, BROWN CANCER CENTER
LOUISVILLE, KY 40202
Radiology (Radiation Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Internal Medicine (Hematology & Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Psychologist
529 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Practitioner
529 S JACKSON ST
LOUISVILLE, KY 40202
Special Hospital
529 S JACKSON ST, # 127
LOUISVILLE, KY 40202
Internal Medicine (Hematology & Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
529 S JACKSON ST
LOUISVILLE, KY 40202
Pathology (Anatomic Pathology & Clinical Pathology)
529 S JACKSON ST, SUITE 416
LOUISVILLE, KY 40202
Internal Medicine (Hematology & Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Internal Medicine (Hematology & Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Pathology (Molecular Genetic Pathology)
529 S JACKSON ST, SUITE 416
LOUISVILLE, KY 40202
Radiology (Radiation Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Counselor (Professional)
529 S JACKSON ST, J GRAHAM BROWN CANCER CENTER, BEHAVIORAL ONCOLOGY
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
529 S JACKSON ST
LOUISVILLE, KY 40202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235110743, enumerated as an "individual" on November 10, 2005.

The provider is located at 529 S JACKSON ST LOUISVILLE, KY 40202 and the phone number is (502) 562-4370.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.