DR. JOHN M MILLIGAN M.D.
NPI 1376513341
Otolaryngology in Phoenix, AZ

Active since January 24, 2006PECOS Enrolled
66.82/100
CMS Quality Rating
4530 E SHEA BLVD STE 180, PHOENIX, AZ 85028(602) 264-4834(602) 257-8319 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John M Milligan M.d. NPPES

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

DR. JOHN M MILLIGAN M.D. (NPI 1376513341) is an individual otolaryngology provider in Phoenix, Arizona, licensed in Arizona (14772) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376513341
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOHN M MILLIGANCredential: M.D.
Location Address4530 E SHEA BLVD STE 180Phoenix, AZ 85028-6042
Mailing Address4530 E Shea Blvd Ste 180Phoenix, AZ 85028-6042 · (602) 264-4834 · Fax (602) 257-8319
Fax(602) 257-8319
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
NPI 1376513341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in AZ · 14772
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4530 E SHEA BLVD STE 180, Phoenix, AZ 85028

Other Identifiers 3

Medicaid270091AZ
Medicaid799702AZ
OtherAZ0819120AZ · Bc/bs Provider Id

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 (PECOS)

Dr. John M Milligan 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 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.
79 services62 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
26 services17 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.
22 services16 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
14 services12 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85028 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

66.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.6
Improvement Activities40
Cost44.6

Other Providers at the Same Location NPPES 13

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

Audiologist
4530 E SHEA BLVD STE 180
PHOENIX, AZ 85028
Otolaryngology
4530 E SHEA BLVD STE 180
PHOENIX, AZ 85028
Otolaryngology
4530 E SHEA BLVD STE 180
PHOENIX, AZ 85028
Speech-Language Pathologist
4530 E SHEA BLVD STE 180
PHOENIX, AZ 85028
Otolaryngology
4530 E SHEA BLVD STE 180
PHOENIX, AZ 85028
Audiologist
4530 E SHEA BLVD STE 180
PHOENIX, AZ 85028
Otolaryngology
4530 E SHEA BLVD STE 180
PHOENIX, AZ 85028
Audiologist
4530 E SHEA BLVD STE 180
PHOENIX, AZ 85028

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 John Milligan's NPI number?

The NPI number for John Milligan is 1376513341. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is John Milligan located?

John Milligan practices at 4530 E Shea Blvd Ste 180, Phoenix, AZ 85028. The listed phone number is (602) 264-4834.

What is John Milligan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Milligan enrolled in Medicare?

Yes. John Milligan is registered in the Medicare PECOS enrollment system.

What insurance does John Milligan accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list John Milligan 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.

When was this NPI record last updated?

The NPPES record for John Milligan was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.