GLENN MILLER MD
NPI 1407862022
Family Medicine in Peoria, IL

Active since August 01, 2006PECOS Enrolled

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glenn Miller Md NPPES

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

GLENN MILLER MD (NPI 1407862022) is an individual family medicine provider in Peoria, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407862022
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGLENN MILLERCredential: MD
Location Address815 MAIN STPeoria, IL 61602-1076
Mailing Address5100 Reliable PkwyChicago, IL 60686-0001 · (309) 672-4809
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1407862022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
815 MAIN ST, Peoria, IL 61602

Other Identifiers 7

Medicare UPIND15990IL
Medicare ID-Type UnspecifiedK08301IL
Other472301IL · Healthlink
OtherIL01N2IL · John Deere
Other7215059IL · Bcbs Ppo
Other028606IL · Health Alliance
Medicaid0360696082IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Glenn Miller Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61602 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Family Medicine
815 MAIN ST
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
815 MAIN ST
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
815 MAIN ST
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
815 MAIN ST
PEORIA, IL 61602
Nurse Practitioner (Family)
815 MAIN ST
PEORIA, IL 61602
Nurse Practitioner (Family)
815 MAIN ST
PEORIA, IL 61602
Nurse Practitioner
815 MAIN ST
PEORIA, IL 61602
Family Medicine
815 MAIN ST, SUITE A
PEORIA, IL 61602

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 Glenn Miller's NPI number?

The NPI number for Glenn Miller is 1407862022. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Glenn Miller located?

Glenn Miller practices at 815 Main St, Peoria, IL 61602. The listed phone number is (309) 672-4977.

What is Glenn Miller's specialty?

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

Is Glenn Miller enrolled in Medicare?

Yes. Glenn Miller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Miller was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.