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DR. PATRICK J MACMILLAN MD
NPI 1457492910
Internal Medicine - Hospice and Palliative Medicine in Fresno, CA

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment
85/100
CMS Quality Rating
2335 E KASHIAN LN STE 280, FRESNO, CA 93701(559) 320-1090(559) 320-0331 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2022, Aug 3, 2022, Feb 2, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Patrick J Macmillan Md NPPES

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

DR. PATRICK J MACMILLAN MD (NPI 1457492910) is an individual hospice and palliative medicine provider in Fresno, California, licensed in California (C137278) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1457492910
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameDR. PATRICK J MACMILLANCredential: MD
Location Address2335 E KASHIAN LN STE 280Fresno, CA 93701-2211
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 320-1090
Fax(559) 320-0331
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 9, 2007
Last NPPES UpdateNovember 1, 20224 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1457492910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in CA · C137278
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 42454 (TN), C137278 (CA)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 42454 (TN)
2335 E KASHIAN LN STE 280, Fresno, CA 93701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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. Patrick J Macmillan 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 ID3375630023
PECOS Enrollment IDI20150824002140
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

2

Medicare enrollment records show Patrick Macmillan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Faculty Associates, Inc.
Same address
Emergency Medicine
2823 FRESNO ST
Fresno, CA 93721
  • Reassigned Medicare billing, California enrollment
  • 320 clinicians in this Medicare group
NPI 1235537283 (559) 443-2682
Central California Faculty Medical Group, Inc.
0.1 mi
Emergency Medicine
2823 FRESNO ST
Fresno, CA 93721
  • Reassigned Medicare billing, California enrollment
  • 295 clinicians in this Medicare group
NPI 1457603573 (559) 443-2682

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 10

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.
98 services67 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.
96 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services57 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.
45 services38 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
36 services27 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
29 services29 patients

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.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.33
Promoting Interoperability100
Improvement Activities40
Cost45.02

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.

SUMAYA HAMMAMI MD
Internal Medicine
2335 E KASHIAN LN STE 280
FRESNO, CA 93701
Fresno County (559) 320-1090
DR. MUHAMMAD H GUL
Internal Medicine (Pulmonary Disease)
2335 E KASHIAN LN STE 280
FRESNO, CA 93701
Fresno County (559) 320-1090
MAHSHID ZOHOURI
Internal Medicine
2335 E KASHIAN LN STE 280
FRESNO, CA 93701
Fresno County (559) 320-1090
KARL P VANGUNDY MD
Internal Medicine (Pulmonary Disease)
2335 E KASHIAN LN STE 280
FRESNO, CA 93701
Fresno County (559) 320-1090
ROBERT S. KELLEHER NP
Nurse Practitioner (Acute Care)
2335 E KASHIAN LN STE 280
FRESNO, CA 93701
Fresno County (559) 320-1090
BRANDON JOSEPH CROFT MD
Internal Medicine (Pulmonary Disease)
2335 E KASHIAN LN STE 280
FRESNO, CA 93701
Fresno County (559) 320-1090
ANSHU VARMA MD
Internal Medicine
2335 E KASHIAN LN STE 280
FRESNO, CA 93701
Fresno County (559) 320-1090
DR. GEETHA SIVASUBRAMANIAN MD
Internal Medicine (Infectious Disease)
2335 E KASHIAN LN STE 280
FRESNO, CA 93701
Fresno County (559) 320-1090

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 Patrick Macmillan's NPI number?

The NPI number for Patrick Macmillan is 1457492910. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Patrick Macmillan located?

Patrick Macmillan practices at 2335 E Kashian Ln Ste 280, Fresno, CA 93701. The listed phone number is (559) 320-1090.

What is Patrick Macmillan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Patrick Macmillan enrolled in Medicare?

Yes. Patrick Macmillan 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 Patrick Macmillan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Macmillan reassigns Medicare benefits to 2 organizations: University Faculty Associates, Inc. (Fresno, CA) and Central California Faculty Medical Group, Inc. (Fresno, CA). 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 Patrick Macmillan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Macmillan accept?

Health plans from Cigna Healthcare list Patrick Macmillan 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 Patrick Macmillan was last updated on November 1, 2022. 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.