JEFFREY T MACMILLAN M.D.
NPI 1295758365
Orthopaedic Surgery in Kimball, NE

Q: What is Jeffrey Macmillan's NPI number?

The NPI number for Jeffrey Macmillan is 1295758365. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Jeffrey Macmillan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Macmillan was last updated on August 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 26, 2006PECOS Enrolled

72/100

CMS Quality Rating

255 W 4TH ST, KIMBALL, NE 69145(308) 235-1951 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2024, May 24, 2023, May 16, 2023 (3 updates tracked since 2023).

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About Jeffrey T Macmillan M.d. NPPES

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

JEFFREY T MACMILLAN M.D. (NPI 1295758365) is an individual orthopaedic surgery provider in Kimball, Nebraska, licensed in Nebraska (29753) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295758365

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJEFFREY T MACMILLANCredential: M.D.

Location Address255 W 4TH STKimball, NE 69145-1706

Mailing AddressPo Box 920Torrington, WY 82240-0920 · (913) 894-2121 · Fax (913) 894-9592

Phone(308) 235-1951

Sole ProprietorYes

Enumeration DateJuly 26, 2006

Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration

NPPES CertifiedAugust 16, 2024

✔ NPI 1295758365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in NE · 29753✔ Licensed in KS · 04-25519

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

255 W 4TH ST, Kimball, NE 69145

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Other Identifiers 8

Other200030413KS · Rr Medicare

Medicaid100171940AKS

Other431793993KS · Triwest

Other0982140KS · United Healthcare

Other141094900KS · Us Department Of Labor

Other15076140KS · Humana

Medicaid208162701MO

Other21793010KS · Bcbs Kc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and more.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)

Jeffrey T Macmillan M.d. 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.

Areas of Expertise CMS Part B claims 4

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

78 services34 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

32 services32 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services22 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69145 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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.

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.

72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

59.47

Promoting Interoperability

Improvement Activities

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Other Providers at the Same Location NPPES 6

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

KIMBALL COUNTY HOSPITAL

General Acute Care Hospital (Critical Access)