DR. JOSEPH P MILLER M.D.
NPI 1265404750
Specialist in Cape Girardeau, MO


Quality Rating: 84.7 out of 100 score

NPI Status: Active since February 07, 2006

Contact Information

789 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 519-4700
Fax: (573) 334-8023

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  • Individual
  • Male
  • Years of Experience 34
  • Specialist
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JOSEPH MILLER

Joseph Miller is a provider established in Cape Girardeau, Missouri and his medical specialization is Specialist with more than 34 years of experience. He graduated from University Of Kentucky College Of Medicine in 1990. The healthcare provider is registered in the NPI registry with number 1265404750 assigned on February 2006. The practitioner's primary taxonomy code is 174400000X with license number R3L60 (MO). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1265404750
Provider Name
DR. JOSEPH P MILLER M.D.
Gender
Male
Entity Type
Individual
Location Address
789 S MOUNT AUBURN RD CAPE GIRARDEAU, MO 63703
Location Phone
(573) 519-4700
Location Fax
(573) 334-8023
Mailing Address
325 S KINGSHIGHWAY ST SUITE G CAPE GIRARDEAU, MO 63703
Mailing Phone
(573) 335-5006
Mailing Fax
(573) 334-8023
Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year
1990
Is Sole Proprietor?
Yes
Enumeration Date
02-07-2006
Last Update Date
08-20-2012
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Joseph Miller is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.7, 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.

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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
R3L60
License State
MO
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

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

  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
  • Ambetter from Home State Health

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
  • Ambetter from Nebraska Total Care

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
  • Ambetter from Sunflower Health Plan

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Ambetter Health of Delaware

    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Ambetter of Illinois

    • Central Bronze - HMO
    • Central Bronze + Vision + Adult Dental - HMO
    • Central Gold - HMO
    • Central Gold + Vision + Adult Dental - HMO
    • Central Silver - HMO
  • Ambetter of Oklahoma

    • Clear Gold - PPO
    • Clear Gold + Vision + Adult Dental - PPO
    • Clear Silver - PPO
    • Clear Silver + Vision + Adult Dental - PPO
    • Complete Silver - PPO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Pathway 20% for HSA - EPO
    • Anthem Bronze Pathway 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 6500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 7500/50% Standard - EPO
    • Anthem Bronze Pathway 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded (No Referrals) - EPO
    • UHC Bronze Standard (No Referrals) - EPO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) - EPO
    • UHC Bronze Value HSA (No Referrals) - EPO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • Railroad Medicare

  • Medicare

  • Medicaid


*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
300018569MEDICARE ID-TYPE UNSPECIFIED (04)MORR MEDICARE PROVIDER #
E45629MEDICARE UPIN (02)MO 
000000116MEDICARE ID-TYPE UNSPECIFIED (04)MO 
202891008MEDICAID (05)MO 

PECOS Enrollment and Medicare Participation Status

Joseph Miller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4284775909

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100104000218

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Drugs and Nutritional Products

  • Enteral and parenteral (O1C)

    Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4036)

    2 DME suppliers used 16 Medicare Claims 453 Services Paid

  • Enteral and parenteral (O1C)

    Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4152)

    2 DME suppliers used 19 Medicare Claims 10351 Services Paid

Durable Medical Equipment

  • Other DME (D1E)

    Iv pole (HCPCS:E0776)

    1 DME suppliers used 15 Medicare Claims 15 Services Paid

Overall MIPS Quality 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: 84.7 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: 76.54

    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: 92

    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: N/A

    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: N/A

    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.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 1697

    Ct scan guidance for insertion of radiation therapy fields (HCPCS:77014)

  • 612

    Calculation of radiation therapy dose (HCPCS:77300)

  • 486

    Radiation treatment devices, design and construction, complex (HCPCS:77334)

  • 477

    Radiation treatment management, 5 treatments (HCPCS:77427)

  • 163

    Management of radiation therapy, complex (HCPCS:77263)

  • 26

    Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Joseph Miller is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SOUTHEASTHEALTH1701 LACEY ST
CAPE GIRARDEAU, MO 63701
(573) 334-4822Acute Care Hospitals

Reviews for DR. JOSEPH P MILLER M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265404750
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125808710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 8 + 0 + 8 + 7 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1265404750 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881813202DR. ANDREW JACOB MOORE M.D.
Individual
Internal Medicine (Hematology & Oncology)789 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
(573) 519-4830
1518090125DR. JAMES C MOSLEY III MD
Individual
Internal Medicine (Hematology & Oncology)789 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
(573) 519-4830
1215148168DR. ANDREW CHRISTOPHER DICKEY M.D.
Individual
Internal Medicine (Hematology & Oncology)789 S MOUNT AUBURN RD DEPT. OF MEDICINE
CAPE GIRARDEAU, MO 63703
(573) 519-4830
1245759919MRS. LEAH DANIELLE HAYMAN APRN, FNP-C
Individual
Nurse Practitioner789 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
(573) 519-4830
1801091996DR. ERIN ELAINE EZZELL D.O.
Individual
Internal Medicine (Hematology & Oncology)789 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
(573) 519-4800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265404750, enumerated in the NPI registry as an "individual" on February 07, 2006

The provider is located at 789 S Mount Auburn Rd Cape Girardeau, Mo 63703 and the phone number is (573) 519-4700

The provider's speciality is Specialist with taxonomy code 174400000X

The provider has more than 34 years of experience. He graduated from University Of Kentucky College Of Medicine in 1990.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: Ct scan guidance for insertion of radiation therapy fields, Calculation of radiation therapy dose, Radiation treatment devices, design and construction, complex, Radiation treatment management, 5 treatments, Management of radiation therapy, complex and Diagnostic examination of voice box using flexible endoscope.

The practitioner is affiliated to the following hospital(s): SOUTHEASTHEALTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on February 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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