KENNETH GORDON MILLER DDS
NPI 1255419305
Dentist - Oral and Maxillofacial Surgery in Clarks Summit, PA

Q: What is Kenneth Miller's NPI number?

The NPI number for Kenneth Miller is 1255419305. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is Kenneth 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 Kenneth Miller was last updated on February 28, 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 November 02, 2006PECOS Enrolled

233 NORTHERN BLVD, STE 5, CLARKS SUMMIT, PA 18411(570) 586-5300(570) 586-4720 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth Gordon Miller Dds NPPES

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

KENNETH GORDON MILLER DDS (NPI 1255419305) is an individual oral and maxillofacial surgery provider in Clarks Summit, Pennsylvania, licensed in Pennsylvania (021625L) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255419305

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameKENNETH GORDON MILLERCredential: DDS

Location Address233 NORTHERN BLVD, STE 5Clarks Summit, PA 18411-8720

Mailing Address233 Northern Blvd, Ste 5Clarks Summit, PA 18411-8720 · (570) 954-8211

Phone(570) 586-5300

Fax(570) 586-4720

Sole ProprietorNo

Enumeration DateNovember 2, 2006

Last NPPES UpdateFebruary 28, 2017

✔ NPI 1255419305 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 PA · 021625L

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.

233 NORTHERN BLVD, Clarks Summit, PA 18411

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Other Identifiers 3

Medicare UPINT71993

Medicaid00905525PA

Medicare ID-Type Unspecified402317

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Renaissance Dental.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)

Kenneth Gordon Miller Dds 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 18411 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 2

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

PINNACLE ORAL SURGERY

Dentist (Oral and Maxillofacial Surgery)

233 NORTHERN BLVD, SUITE 5
SOUTH ABINGTON TOWNSHIP, PA 18411

Lackawanna County (570) 586-5300

PINNACLE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC

Dentist (Oral and Maxillofacial Surgery)

233 NORTHERN BLVD, SUITE 5
CLARKS SUMMIT, PA 18411

Lackawanna County (570) 586-5300

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 1255419305. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Kenneth Miller located?

Kenneth Miller practices at 233 Northern Blvd Ste 5, Clarks Summit, PA 18411. The listed phone number is (570) 586-5300.

What is Kenneth Miller's specialty?

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

Is Kenneth Miller enrolled in Medicare?

Yes. Kenneth Miller is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Miller accept?

Health plans from Humana and Renaissance Dental list Kenneth 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 Kenneth Miller was last updated on February 28, 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.