DR. CHARLES MILLER M.D.
NPI 1528168549
Urology in Boone, NC

Active since September 22, 2006PECOS Enrolled
93.24/100
CMS Quality Rating
935 STATE FARM RD, BOONE, NC 28607(828) 264-5150(828) 265-3611 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Charles Miller M.d. NPPES

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

DR. CHARLES MILLER M.D. (NPI 1528168549) is an individual urology provider in Boone, North Carolina, licensed in North Carolina (31739) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528168549
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. CHARLES MILLERCredential: M.D.
Location Address935 STATE FARM RDBoone, NC 28607-4948
Mailing Address935 State Farm RdBoone, NC 28607-4948 · (828) 264-5150 · Fax (828) 265-3611
Fax(828) 265-3611
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateOctober 2, 2007
✔ NPI 1528168549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NC · 31739
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
935 STATE FARM RD, Boone, NC 28607

Other Identifiers 5

Medicare ID-Type Unspecified2158301NC
Medicaid8958881NC
Other2158301BNC · Psc Medicare Provider Num
Medicare UPINE76866NC
Other58881NC · Blue Cross

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Miller M.d. 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.

Medicare Billing Reassignments

2

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

Family Medicine
336 DEERFIELD ROAD
Boone, NC 28607
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group
Lithotripsy
1907 SOUTH HAWTHORNE RD
Winston-salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 80 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 20

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
962 services618 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.
750 services503 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
486 services390 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
473 services378 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
299 services45 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.
153 services130 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
13 suppliers97 claims21,490 services$1.44 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
9 suppliers74 claims12,774 services$5.64 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.

Pediatrics
935 STATE FARM RD
BOONE, NC 28607
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
935 STATE FARM RD
BOONE, NC 28607
Pharmacist
935 STATE FARM RD
BOONE, NC 28607
Internal Medicine
935 STATE FARM RD
BOONE, NC 28607
Counselor (Professional)
935 STATE FARM RD
BOONE, NC 28607
Psychologist
935 STATE FARM RD
BOONE, NC 28607
Urology
935 STATE FARM RD
BOONE, NC 28607
Psychiatry & Neurology (Psychiatry)
935 STATE FARM RD
BOONE, NC 28607

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 Charles Miller's NPI number?

The NPI number for Charles Miller is 1528168549. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Charles Miller located?

Charles Miller practices at 935 State Farm Rd, Boone, NC 28607. The listed phone number is (828) 264-5150.

What is Charles Miller's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Charles Miller enrolled in Medicare?

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

Which organizations bill Medicare for Charles Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Miller reassigns Medicare benefits to 2 organizations: Appalachian Regional Medical Associates, Inc. (Boone, NC) and Piedmont Stone Center PLLC (Winston-salem, NC). 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 Charles Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Miller accept?

Health plans from Cigna Healthcare list Charles 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.

When was this NPI record last updated?

The NPPES record for Charles Miller was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.