BRIAN MCMILLAN
NPI 1366731994
Ophthalmology in Morgantown, WV

Q: What is Brian Mcmillan's NPI number?

The NPI number for Brian Mcmillan is 1366731994. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Q: What is Brian Mcmillan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Mcmillan was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 05, 2011PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506(304) 598-4000 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2022, Jan 12, 2021, Oct 22, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Brian Mcmillan NPPES

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

BRIAN MCMILLAN (NPI 1366731994) is an individual ophthalmology provider in Morgantown, West Virginia, licensed in West Virginia (25356) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of West Virginia University School Of Medicine (2011).

NPPES Registry Identity

NPI1366731994

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameBRIAN MCMILLAN

Location Address1 MEDICAL CENTER DRIVEMorgantown, WV 26506

Mailing Address222 Hanalei DrMorgantown, WV 26508-4263 · (304) 952-0377

Phone(304) 598-4000

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2011

Enumeration DateApril 5, 2011

Last NPPES UpdateApril 12, 20224 updates tracked since enumeration

NPPES CertifiedApril 12, 2022

✔ NPI 1366731994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WV · 25356

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1 MEDICAL CENTER DRIVE, Morgantown, WV 26506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Mcmillan 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 ID7214246917

PECOS Enrollment IDI20151020002028

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.

Medicare Billing Reassignments

Medicare enrollment records show Brian Mcmillan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia University Medical Corporation

Same address

Family Medicine

1 MEDICAL CENTER DRIVE
Morgantown, WV 26506

Reassigned Medicare billing, West Virginia enrollment
2,471 clinicians in this Medicare group

NPI 1275504508 (304) 598-4800

St Josephs Hospital Of Buckhannon Inc

48 mi

Critical Access

1 AMALIA DR
Buckhannon, WV 26201

Reassigned Medicare billing, West Virginia enrollment
Medicare enrollment name: St Joseph's Hospital Of Buckhannon Inc
189 clinicians in this Medicare group

NPI 1124005061 (304) 473-2000

Wheeling Hospital Inc

48 mi

Family Medicine

1 MEDICAL PARK
Wheeling, WV 26003

Reassigned Medicare billing, West Virginia enrollment
502 clinicians in this Medicare group

NPI 1548923923 (304) 243-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

690 services331 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

410 services317 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

316 services251 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.

137 services109 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

67 services36 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

57 services56 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

47 services34 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

45 services40 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

44 services42 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

40 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

32 services28 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

18 services12 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

18 services13 patients

Creation of shunt to improve eye fluid flow using tissue graft 66180

This procedure involves creating a new pathway for fluid to flow out of your eye using a tissue graft. It helps to lower eye pressure and prevent damage to your optic nerve, improving eye health and vision.

14 services14 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510006

Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County

Emergency services Birthing friendly

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511321

Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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.

94.1/100

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

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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.

DR. DORIAN J WILLIAMS M.D.

Family Medicine

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-6900

MEGHAN METCALFE PT

Physical Therapist

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-4118

MRS. HOLLY BETH HARTMAN-ADAMS M.D.

Family Medicine

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-6900

DR. SWAPNA GAYAM M.D

Internal Medicine (Gastroenterology)

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 293-4123

DR. JAMES ROBERT WELTY M.D.

Hospitalist

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-4000

ANDREW VUCELIK MD

Emergency Medicine

1 MEDICAL CENTER DRIVE, ROOM 4601
MORGANTOWN, WV 26506

Monongalia County (304) 293-7215

RYAN CODDINGTON TURNER M.D., PH.D.

Neurological Surgery

1 MEDICAL CENTER DRIVE, ROOM 4300
MORGANTOWN, WV 26506

Monongalia County (304) 293-5041

PENNY CULLEY RN

Nurse Practitioner (Family)

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-4800

VICKI CHASE

Health Educator

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-4032

MATTHEW KERSTETER MD

Emergency Medicine

1 MEDICAL CENTER DRIVE, PO 9149
MORGANTOWN, WV 26506

Monongalia County (304) 293-7215

DR. JEFFREY ALBIN VOS M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1 MEDICAL CENTER DRIVE, BOX 9203
MORGANTOWN, WV 26506

Monongalia County (304) 293-3212

WEST VIRGINIA UNIVERSITY HOSPITALS, INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-6376

ANTHONY J PARRAVANI MD

Internal Medicine (Nephrology)

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-4800

WALID G. GHARIB M.D.

Internal Medicine (Cardiovascular Disease)

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-4850

JANAE SHERER

Nurse Practitioner (Family)

1 MEDICAL CENTER DRIVE, RUBY MEMORIAL HOSPITAL
MORGANTOWN, WV 26506

Monongalia County (304) 598-6338

MEHENAZ HANBAZAZH

Student in an Organized Health Care Education/Training Program

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 293-3212

DR. CLAUDE K SHANNON M.D.

Family Medicine

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-6900

DR. SARAH HADIQUE M.D.

Internal Medicine (Pulmonary Disease)

1 MEDICAL CENTER DRIVE, PHYSICIAN OFFICE CENTER (POC)
MORGANTOWN, WV 26506

Monongalia County (304) 293-4661

CYNTHIA FOX PT

Physical Therapist

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-4118

WILLIAM WALTER PT

Physical Therapist

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Monongalia County (304) 598-4118

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 Brian Mcmillan's NPI number?

The NPI number for Brian Mcmillan is 1366731994. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Where is Brian Mcmillan located?

Brian Mcmillan practices at 1 Medical Center Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4000.

What is Brian Mcmillan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Brian Mcmillan enrolled in Medicare?

Yes. Brian 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.

Which organizations bill Medicare for Brian Mcmillan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Mcmillan reassigns Medicare benefits to 3 organizations: West Virginia University Medical Corporation (Morgantown, WV), St Josephs Hospital Of Buckhannon Inc (Buckhannon, WV) and Wheeling Hospital Inc (Wheeling, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Mcmillan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Mcmillan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Brian 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 Brian Mcmillan affiliated with any hospitals?

According to CMS data, Brian Mcmillan is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Brian Mcmillan was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.