ANDREW CHARLES MACMILLAN D.O.
NPI 1245625979
Internal Medicine - Pulmonary Disease in Columbus, OH

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 566-4691 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2023, Jan 31, 2023, Jun 13, 2019 and 1 more (4 updates tracked since 2017).

About Andrew Charles Macmillan D.o. NPPES

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

ANDREW CHARLES MACMILLAN D.O. (NPI 1245625979) is an individual pulmonary disease provider in Columbus, Ohio, licensed in Ohio (34.012840) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio State University College Of Medicine (2015).

NPPES Registry Identity

NPI1245625979
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameANDREW CHARLES MACMILLANCredential: D.O.
Location Address3535 OLENTANGY RIVER RDColumbus, OH 43214-3908
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · Fax (614) 544-6370
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2015
Enumeration DateMarch 31, 2015
Last NPPES UpdateOctober 24, 20244 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
NPI 1245625979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OH · 34.012840
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 34.012840 (OH)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 34.012840 (OH)
3535 OLENTANGY RIVER RD, Columbus, OH 43214

Other Identifiers 1

Medicaid0241008OH

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 and accepts Medicare assignment

Andrew Charles Macmillan D.o. 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 ID9436468691
PECOS Enrollment IDI20171127002705
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
299 services138 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
88 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
59 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services31 patients
Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Physician Assistant
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Physician Assistant
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Pathology (Anatomic Pathology & Clinical Pathology)
3535 OLENTANGY RIVER RD, RMH PATHOLOGY DEPT
COLUMBUS, OH 43214
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Medicare Defined Swing Bed Unit
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214

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 Andrew Macmillan's NPI number?

The NPI number for Andrew Macmillan is 1245625979. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Andrew Macmillan located?

Andrew Macmillan practices at 3535 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 566-4691.

What is Andrew Macmillan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Andrew Macmillan enrolled in Medicare?

Yes. Andrew Macmillan 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 Andrew Macmillan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Andrew Macmillan 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.

Is Andrew Macmillan affiliated with any hospitals?

According to CMS data, Andrew Macmillan is affiliated with Riverside Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Macmillan was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.