MARCUS RICHARD MILLER MD
NPI 1518965474
Surgery in Grove City, OH

Q: What is Marcus Miller's NPI number?

The NPI number for Marcus Miller is 1518965474. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Marcus Miller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marcus Miller was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment

5300 N MEADOWS DR, GROVE CITY, OH 43123(614) 864-6363 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2022, Jan 13, 2016 (2 updates tracked since 2016).

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About Marcus Richard Miller Md NPPES

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

MARCUS RICHARD MILLER MD (NPI 1518965474) is an individual surgery provider in Grove City, Ohio, licensed in Ohio (35076919) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1518965474

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMARCUS RICHARD MILLERCredential: MD

Location Address5300 N MEADOWS DRGrove City, OH 43123-2546

Mailing Address6075 E Broad StColumbus, OH 43213-5131 · (614) 864-6363 · Fax (614) 864-2248

Phone(614) 864-6363

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1998

Enumeration DateJuly 13, 2005

Last NPPES UpdateJanuary 11, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2024

✔ NPI 1518965474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OH · 35076919

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.

5300 N MEADOWS DR, Grove City, OH 43123

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Secondary Practice Location 1

Location 16075 E Broad StColumbus, OH 43213-5131 · Phone (614) 864-6363 · Fax (614) 864-2248

Other Identifiers 1

Medicaid2212493OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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

Marcus Richard 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 ID3779564174

PECOS Enrollment IDI20040529000138

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

Medicare enrollment records show Marcus Miller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Carmel Health System

1.5 mi

Urgent Care

3000 MEADOW POND CT, STE 200
Grove City, OH 43123

Reassigned Medicare billing, Ohio enrollment
258 clinicians in this Medicare group

NPI 1811975279 (614) 871-7130

Ohiohealth Corporation

8.3 mi

Anesthesiology

111 S GRANT AVE FL 3
Columbus, OH 43215

Reassigned Medicare billing, Ohio enrollment
3,314 clinicians in this Medicare group

NPI 1407292105 (614) 566-8808

Central Ohio Surgical Associates

15 mi

Surgery

6075 E BROAD ST
Columbus, OH 43213

Reassigned Medicare billing, Ohio enrollment
19 clinicians in this Medicare group

NPI 1780994970 (614) 864-6363

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

58 services31 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services24 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.

19 services19 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.

18 services18 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360017

Location111 South Grant AvenueColumbus, OH 43215 · Franklin County

Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43123 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

LUKE BRESSLER

Student in an Organized Health Care Education/Training Program