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DR. RODNEY D MCMILLIN M.D.
NPI 1467454637
Surgery in Louisville, KY

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217(502) 777-9961(502) 379-8791 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2019, May 16, 2018 (2 updates tracked since 2018).

About Dr. Rodney D Mcmillin M.d. NPPES

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

DR. RODNEY D MCMILLIN M.D. (NPI 1467454637) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (18435) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Uofl Health - Shelbyville Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1467454637
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RODNEY D MCMILLINCredential: M.D.
Location Address1 AUDUBON PLAZA DRLouisville, KY 40217
Mailing Address2100 Gardiner Ln Ste 207Louisville, KY 40205-2948 · (502) 777-9961 · Fax (502) 379-8791
Phone(502) 777-9961
Fax(502) 379-8791
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1975
Enumeration DateJune 1, 2005
Last NPPES UpdateJanuary 23, 20192 updates tracked since enumeration
✔ NPI 1467454637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 18435
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1 AUDUBON PLAZA DR, Louisville, KY 40217
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Secondary Practice Location 1

Location 14402 Churchman Ave Ste 202Louisville, KY 40215-3100 · Phone (502) 366-1090 · Fax (502) 366-1564

Other Identifiers 5

Other000000486842KY · Anthem
Other020017843KY · Railroad Medicare
Other1049016KY · Passport
Other000000050007KY · Anthem
Medicaid64184351KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rodney D Mcmillin M.d. 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 ID8820096837
PECOS Enrollment IDI20061129000095
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 6

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.
363 services71 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.
334 services88 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
121 services24 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
116 services38 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.
69 services69 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
51 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180016
Location727 Hospital DriveShelbyville, KY 40065 · Shelby County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
83%338 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
59%281 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
92%402 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
0%402 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers28 claims1,640 services$0.10 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers44 claims1,575 services$7.13 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
2 suppliers12 claims375 services$2.06 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
2 suppliers24 claims1,094 services$3.03 avg. paid by Medicare
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard A6266
DME-Medical/Surgical Supplies · category DA023N
3 suppliers26 claims2,278 services$1.84 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
2 suppliers60 claims7,878 services$0.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

COREY WARF M.D.
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7225
MICHAEL DYLAN COOPER BSN, RN
Registered Nurse (Administrator)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (606) 282-0971
DR. RANDALL JOSHUA CAMPBELL M.D.
Anesthesiology
1 AUDUBON PLAZA DR, ATTN: RUBY POLTNER
LOUISVILLE, KY 40217
Jefferson County (502) 636-7160
LAUREN FLAHERTY PA-C
Physician Assistant
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 634-6767
ADAM LEHNIG MD
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7255
DR. BRETT ALLEN MILLER M.D.
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 634-6767
ELVIS U NJERE D.O
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7225
JACKSON GEORGE UNTERINER MD
Radiology (Diagnostic Radiology)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 447-8786

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 Rodney Mcmillin's NPI number?

The NPI number for Rodney Mcmillin is 1467454637. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Rodney Mcmillin located?

Rodney Mcmillin practices at 1 Audubon Plaza Dr, Louisville, KY 40217. The listed phone number is (502) 777-9961.

What is Rodney Mcmillin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rodney Mcmillin enrolled in Medicare?

Yes. Rodney Mcmillin 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.

What insurance does Rodney Mcmillin accept?

Health plans from CareSource list Rodney Mcmillin 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 Rodney Mcmillin affiliated with any hospitals?

According to CMS data, Rodney Mcmillin is affiliated with UofL Health - Shelbyville Hospital, Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Rodney Mcmillin was last updated on January 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.