ADAM MCMILLAN MD
NPI 1336778083
Family Medicine in Sparta, MI

Active since April 05, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2111 12 MILE RD NW, SPARTA, MI 49345(616) 391-8470 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adam Mcmillan Md NPPES

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

ADAM MCMILLAN MD (NPI 1336778083) is an individual family medicine provider in Sparta, Michigan, licensed in Michigan (4351046500) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1336778083
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADAM MCMILLANCredential: MD
Location Address2111 12 MILE RD NWSparta, MI 49345-9754
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateApril 5, 2020
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
NPI 1336778083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4351046500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2111 12 MILE RD NW, Sparta, MI 49345

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

Adam Mcmillan Md 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 ID1557785748
PECOS Enrollment IDI20230731003684
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 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.
101 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
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.
24 services17 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49345 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Social Worker (Clinical)
2111 12 MILE RD NW
SPARTA, MI 49345
Family Medicine
2111 12 MILE RD NW
SPARTA, MI 49345
Nurse Practitioner (Family)
2111 12 MILE RD NW
SPARTA, MI 49345
Physician Assistant
2111 12 MILE RD NW
SPARTA, MI 49345
Family Medicine
2111 12 MILE RD NW
SPARTA, MI 49345
Family Medicine
2111 12 MILE RD NW
SPARTA, MI 49345
Family Medicine
2111 12 MILE RD NW
SPARTA, MI 49345
Physician Assistant
2111 12 MILE RD NW
SPARTA, MI 49345

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 Adam Mcmillan's NPI number?

The NPI number for Adam Mcmillan is 1336778083. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Adam Mcmillan located?

Adam Mcmillan practices at 2111 12 Mile Rd NW, Sparta, MI 49345. The listed phone number is (616) 391-8470.

What is Adam Mcmillan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adam Mcmillan enrolled in Medicare?

Yes. Adam Mcmillan 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 Adam Mcmillan accept?

Health plans from McLaren Health Plan Community and Priority Health list Adam Mcmillan 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 Adam Mcmillan affiliated with any hospitals?

According to CMS data, Adam Mcmillan is affiliated with Spectrum Health United Hospital, Spectrum Health and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Adam Mcmillan was last updated on September 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.