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

DR. BENJAMIN JAMES MILLER MD
NPI 1427284512
Orthopaedic Surgery in Iowa City, IA

Active since June 03, 2009PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, IOWA CITY, IA 52242(319) 384-5535(319) 353-6754 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Sep 3, 2025, Mar 24, 2025 and 1 more (4 updates tracked since 2020).

About Dr. Benjamin James Miller Md NPPES

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

DR. BENJAMIN JAMES MILLER MD (NPI 1427284512) is an individual orthopaedic surgery provider in Iowa City, Iowa, licensed in Iowa (MD-38853) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Health Care Medical Center Down, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1427284512
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BENJAMIN JAMES MILLERCredential: MD
Location Address200 HAWKINS DRIowa City, IA 52242-1007
Mailing Address200 Hawkins DrIowa City, IA 52242-1007 · (319) 384-5535 · Fax (319) 353-6754
Fax(319) 353-6754
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2003
Enumeration DateJune 3, 2009
Last NPPES UpdateOctober 15, 20264 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1427284512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IA · MD-38853✔ Licensed in IL · 036.121125
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
200 HAWKINS DR, Iowa City, IA 52242

Secondary Practice Locations 4

Location 12901 86th StUrbandale, IA 50322-4330 · Phone (515) 457-2960 · Fax (319) 356-3949
Location 2500 E Market StIowa City, IA 52245-2633 · Phone (319) 339-3551 · Fax (319) 887-2847
Location 3701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 356-2223 · Fax (319) 353-6745
Location 48605 Chambery BlvdJohnston, IA 50131-8810 · Phone (877) 891-5350

Accepted 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

Dr. Benjamin James 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 ID8729112396
PECOS Enrollment IDI20100818000290
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 Reassignment

Medicare enrollment records show Benjamin Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dentist
200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group

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 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.
102 services76 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.
38 services27 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.
37 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 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.
16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Iowa Health Care Medical Center Down

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160029
Location500 E Market StreetIowa City, IA 52245 · Johnson County
Emergency services Birthing friendly

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number160058
Location200 Hawkins DriveIowa City, IA 52242 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

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 Benjamin Miller's NPI number?

The NPI number for Benjamin Miller is 1427284512. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Benjamin Miller located?

Benjamin Miller practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 384-5535.

What is Benjamin Miller's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Benjamin Miller enrolled in Medicare?

Yes. Benjamin Miller 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 organization bills Medicare for Benjamin Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Miller reassigns Medicare benefits to State University Of Iowa (Iowa City, IA). The 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 Benjamin Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Miller accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 other insurers list Benjamin Miller 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 Benjamin Miller affiliated with any hospitals?

According to CMS data, Benjamin Miller is affiliated with University Of Iowa Health Care Medical Center Down, Genesis Medical Center-Davenport and University Of Iowa Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Benjamin Miller was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.