Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DERRICK LLOYD MILLER MD
NPI 1366022386
Family Medicine - Sports Medicine in Antioch, CA

Q: What is Derrick Miller's NPI number?

The NPI number for Derrick Miller is 1366022386. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Derrick Miller's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Miller was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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 April 13, 2021PECOS Enrolled

4501 SAND CREEK RD, ANTIOCH, CA 94531(408) 357-1410 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Jul 23, 2026, Aug 15, 2025 and 2 more (5 updates tracked since 2021).

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About Derrick Lloyd Miller Md NPPES

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

DERRICK LLOYD MILLER MD (NPI 1366022386) is an individual sports medicine provider in Antioch, California, licensed in California (A202679) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366022386

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDERRICK LLOYD MILLERCredential: MD

Location Address4501 SAND CREEK RDAntioch, CA 94531-8687

Mailing Address4501 Sand Creek RdAntioch, CA 94531-8687 · (925) 813-6500

Phone(408) 357-1410

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 13, 2021

Last NPPES UpdateJuly 29, 20265 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1366022386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in CA · A202679

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License A202679 (CA)

4501 SAND CREEK RD, Antioch, CA 94531

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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

Derrick Lloyd Miller 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 ID3678082807

PECOS Enrollment IDI20250530001606

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 94531 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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.

KRISTEN ASAKO SHIMODA PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)