MR. KENNETH DOMINIQUE MILLER PA-C
NPI 1275868572
Physician Assistant - Surgical in Richland, WA

Active since October 05, 2009PECOS EnrolledAccepts Medicare Assignment
83.05/100
CMS Quality Rating
875 SWIFT BLVD, RICHLAND, WA 99352(509) 946-1654(509) 943-5652 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2017, Jan 13, 2017, Aug 18, 2016 (3 updates tracked since 2016).

About Mr. Kenneth Dominique Miller Pa-c NPPES

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

MR. KENNETH DOMINIQUE MILLER PA-C (NPI 1275868572) is an individual surgical provider in Richland, Washington, licensed in Washington (PA60115570) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1275868572
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. KENNETH DOMINIQUE MILLERCredential: PA-C
Location Address875 SWIFT BLVDRichland, WA 99352-3592
Mailing Address560 Gage Blvd, Suite 203Richland, WA 99352 · (509) 942-3627 · Fax (509) 942-2268
Fax(509) 943-5652
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 5, 2009
Last NPPES UpdateJanuary 23, 20173 updates tracked since enumeration
NPI 1275868572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WA · PA60115570
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA60115570 (WA)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA60115570 (WA)
875 SWIFT BLVD, Richland, WA 99352

Other Identifiers 7

Other0016MIWA · Bswa Kadlec
Medicaid2004006WA
Medicaid808497500ID
Other0255435WA · Liwa Vcr
OtherP00781687WA · Rrga
Medicare PING8885960WA
Medicaid500619959OR

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

Mr. Kenneth Dominique Miller Pa-c 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 ID1850350950
PECOS Enrollment IDI20091110000322
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
39 services37 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
37 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
24 services24 patients
Fusion of pelvic joint using imaging guidance 27279
This procedure involves joining or "fusing" the pelvic joint to alleviate pain or stabilize the area. It's performed under imaging guidance, which helps the doctor visualize the area and ensure precise placement of medical tools. This can improve recovery and outcome.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

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.

83.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Promoting Interoperability100
Improvement Activities40
Cost67.03

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine (Sports Medicine)
875 SWIFT BLVD
RICHLAND, WA 99352
Internal Medicine (Rheumatology)
875 SWIFT BLVD
RICHLAND, WA 99352
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
875 SWIFT BLVD
RICHLAND, WA 99352
Nurse Practitioner (Family)
875 SWIFT BLVD
RICHLAND, WA 99352
Orthopaedic Surgery
875 SWIFT BLVD
RICHLAND, WA 99352
Physical Therapist
875 SWIFT BLVD
RICHLAND, WA 99352
Physician Assistant
875 SWIFT BLVD
RICHLAND, WA 99352
Specialist/Technologist (Athletic Trainer)
875 SWIFT BLVD
RICHLAND, WA 99352

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 1275868572. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Where is Kenneth Miller located?

Kenneth Miller practices at 875 Swift Blvd, Richland, WA 99352. The listed phone number is (509) 946-1654.

What is Kenneth Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kenneth Miller enrolled in Medicare?

Yes. Kenneth 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 Kenneth Miller accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan 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.

Is Kenneth Miller affiliated with any hospitals?

According to CMS data, Kenneth Miller is affiliated with Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Miller was last updated on January 23, 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.