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STEPHEN MCMILLAN M.D.
NPI 1639480205
Anesthesiology - Critical Care Medicine in Edgewood, KY

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 578-5880(859) 578-5881 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Jul 27, 2023, Oct 29, 2018 (3 updates tracked since 2018).

About Stephen Mcmillan M.d. NPPES

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

STEPHEN MCMILLAN M.D. (NPI 1639480205) is an individual critical care medicine provider in Edgewood, Kentucky, licensed in Kentucky (58409) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1639480205
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameSTEPHEN MCMILLANCredential: M.D.
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 578-5880 · Fax (859) 578-5881
Phone(859) 578-5880
Fax(859) 578-5881
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 28, 2010
Last NPPES UpdateApril 25, 20243 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1639480205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
Licenses✔ Licensed in KY · 58409✔ Licensed in OH · 35.141989
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedEmergency MedicineTaxonomy 207P00000X · License P8700 (TX)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 58409 (KY)
1 MEDICAL VILLAGE DR, Edgewood, KY 41017
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, CHRISTUS Health Plan 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

Stephen Mcmillan 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 ID3779708094
PECOS Enrollment IDI20230831001279
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

5

Medicare enrollment records show Stephen Mcmillan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group, Inc
4.0 mi
Psychiatry
1360 DOLWICK DRIVE
Erlanger, KY 41018
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1508287640 (859) 344-5555
Emergency Associates Of Central Texas PA
925 mi
Emergency Medicine
2201 S CLEAR CREEK RD
Killeen, TX 76549
  • Reassigned Medicare billing, Texas enrollment
  • 214 clinicians in this Medicare group
NPI 1215418280 (865) 693-1000
Longhorn Emergency Medical Associates PA
959 mi
Emergency Medicine
919 E 32ND ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
NPI 1649669672 (925) 251-6901
Conner Emergency Medicine Associates, PA
1,070 mi
Emergency Medicine
600 ELIZABETH ST
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 100 clinicians in this Medicare group
NPI 1013415934 (361) 881-3000
Brewster Emergency Medicine Associates PA
1,236 mi
Emergency Medicine
2600 N HIGHWAY 118
Alpine, TX 79830
  • Reassigned Medicare billing, Texas enrollment
  • 52 clinicians in this Medicare group
NPI 1538218771 (800) 893-9698

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
146 services101 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
27 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services18 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
20 services19 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

CARA LINDSAY HANSEN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. COURTNEY E COFFEY PA-C
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-9010
LYNDSEY LANG MS, RN, NNP-BC
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2423
MS. STEPHANIE ANNE STEGMAN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MICHELLE F PANDIT MD
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2250
ELLE KAISER DNP,CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. ANITA KAY PHILLIPS ARNP-C
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-8074
DR. STEPHEN G MOELLER MD
Radiology (Diagnostic Radiology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2160

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 Stephen Mcmillan's NPI number?

The NPI number for Stephen Mcmillan is 1639480205. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Stephen Mcmillan located?

Stephen Mcmillan practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 578-5880.

What is Stephen Mcmillan's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Stephen Mcmillan enrolled in Medicare?

Yes. Stephen 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.

Which organizations bill Medicare for Stephen Mcmillan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Mcmillan reassigns Medicare benefits to 5 organizations: Summit Medical Group, Inc (Erlanger, KY), Emergency Associates Of Central Texas PA (Killeen, TX), Longhorn Emergency Medical Associates PA (Austin, TX), Conner Emergency Medicine Associates, PA (Corpus Christi, TX) and Brewster Emergency Medicine Associates PA (Alpine, TX). 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 Stephen Mcmillan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Mcmillan accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, CareSource, Molina Healthcare and Oscar Health and 1 other insurer list Stephen 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 Stephen Mcmillan affiliated with any hospitals?

According to CMS data, Stephen Mcmillan is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Stephen Mcmillan was last updated on April 25, 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.