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ROBERT MCMILLAN
NPI 1528486792
Surgery in Jamestown, ND

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
300 2ND AVE NE, JAMESTOWN, ND 58401(701) 251-6000(701) 323-5709 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 26, 2019, Sep 12, 2019 (2 updates tracked since 2019).

About Robert Mcmillan NPPES

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

ROBERT MCMILLAN (NPI 1528486792) is an individual surgery provider in Jamestown, North Dakota, licensed in North Dakota (15675) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Creighton University School Of Medicine (2014).

NPPES Registry Identity

NPI1528486792
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameROBERT MCMILLAN
Location Address300 2ND AVE NEJamestown, ND 58401-3373
Mailing Address300 2nd Ave NeJamestown, ND 58401-3373 · (701) 251-6000 · Fax (701) 323-5709
Phone(701) 251-6000
Fax(701) 323-5709
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2014
Enumeration DateApril 3, 2014
Last NPPES UpdateNovember 26, 20192 updates tracked since enumeration
✔ NPI 1528486792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in ND · 15675
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
300 2ND AVE NE, Jamestown, ND 58401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Robert Mcmillan 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 ID7618309709
PECOS Enrollment IDI20191111002031
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 9

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
110 services103 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
49 services48 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.
44 services44 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
32 services30 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.
23 services21 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Carrington Health Center

Critical Access Hospitals · Carrington, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351318
LocationPO Box 461Carrington, ND 58421 · Foster County
Emergency services

Chi Mercy Health

Critical Access Hospitals · Valley City, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351324
Location570 Chautauqua BlvdValley City, ND 58072 · Barnes County
Emergency services

Jamestown Regional Medical Center

Critical Access Hospitals · Jamestown, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number351335
Location2422 20th St SWJamestown, ND 58401 · Stutsman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58401 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$119.49 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$38.25 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.

MS. DENISE RANAE GERINGER LCSW, LAC
Social Worker (Clinical)
300 2ND AVE NE
JAMESTOWN, ND 58401
Stutsman County (701) 251-6000
MEDCENTER ONE INC
Family Medicine
300 2ND AVE NE
JAMESTOWN, ND 58401
Stutsman County (701) 251-6000
MS. LINDSEY ABERLE HALLSTEN LAC LICENSED ADDICTI
Counselor (Addiction (Substance Use Disorder))
300 2ND AVE NE, SUITE 215
JAMESTOWN, ND 58401
Stutsman County (701) 952-1250
PAULA M MARKER PT
Physical Therapist
300 2ND AVE NE
JAMESTOWN, ND 58401
Stutsman County (701) 251-6000
MS. PAMELA SAGNESS LAC
Counselor (Addiction (Substance Use Disorder))
300 2ND AVE NE, SUITE 215
JAMESTOWN, ND 58401
Stutsman County (701) 952-1250
COMMUNITY MRI SERVICES, LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
300 2ND AVE NE
JAMESTOWN, ND 58401
Stutsman County (701) 253-5800
CHRISTOPHER IRMEN MD
Family Medicine
300 2ND AVE NE
JAMESTOWN, ND 58401
Stutsman County (701) 253-4020
DR. LAWRENCE J MOTACEK OD
Optometrist
300 2ND AVE NE
JAMESTOWN, ND 58401
Stutsman County (701) 252-2020

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 Robert Mcmillan's NPI number?

The NPI number for Robert Mcmillan is 1528486792. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Robert Mcmillan located?

Robert Mcmillan practices at 300 2nd Ave NE, Jamestown, ND 58401. The listed phone number is (701) 251-6000.

What is Robert Mcmillan's specialty?

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

Is Robert Mcmillan enrolled in Medicare?

Yes. Robert Mcmillan 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 Robert Mcmillan accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Robert Mcmillan 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 Robert Mcmillan affiliated with any hospitals?

According to CMS data, Robert Mcmillan is affiliated with Sanford Medical Center Fargo, Carrington Health Center, Chi Mercy Health and Jamestown Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Mcmillan was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.