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MS. ANDREA MARGARET BAKER MILNE MD
NPI 1659787000
Family Medicine in Rochester Hills, MI

Active since July 07, 2014PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
1135 W UNIVERSITY DR., SUITE 250, ROCHESTER HILLS, MI 48307(248) 650-6301(248) 650-5486 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Andrea Margaret Baker Milne Md NPPES

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

MS. ANDREA MARGARET BAKER MILNE MD (NPI 1659787000) is an individual family medicine provider in Rochester Hills, Michigan, licensed in Michigan (4301104953) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1659787000
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. ANDREA MARGARET BAKER MILNECredential: MD
Location Address1135 W UNIVERSITY DR., SUITE 250Rochester Hills, MI 48307
Mailing Address1135 W University Dr., Suite 250Rochester Hills, MI 48307 · (248) 650-6301 · Fax (248) 650-5486
Phone(248) 650-6301
Fax(248) 650-5486
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 7, 2014
Last NPPES UpdateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1659787000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301104953
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1135 W UNIVERSITY DR., Rochester Hills, MI 48307
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Ms. Andrea Margaret Baker Milne 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 ID7416381470
PECOS Enrollment IDI20191227001041
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 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.
81 services26 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.
41 services32 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.
16 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.99
Promoting Interoperability100
Improvement Activities40
Cost60.82

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%43 patients
Breast Cancer Screening
61%203 patients3/55-star benchmark: 93%
Cervical Cancer Screening
56%358 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
32%41 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
54%441 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
76%281 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
47%125 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
18%125 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%1,462 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
57%202 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
90%856 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
93%629 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
49%764 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 848 patients
Patients screened: 96% · 848 patients
67%119 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%222 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 210 patients
Patients totalRate: 11% · 217 patients
10%217 patients4/55-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.

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 Andrea Milne's NPI number?

The NPI number for Andrea Milne is 1659787000. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Where is Andrea Milne located?

Andrea Milne practices at 1135 W University Dr. Suite 250, Rochester Hills, MI 48307. The listed phone number is (248) 650-6301.

What is Andrea Milne's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrea Milne enrolled in Medicare?

Yes. Andrea Milne 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 Andrea Milne accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Andrea Milne 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 Andrea Milne affiliated with any hospitals?

According to CMS data, Andrea Milne is affiliated with Ascension St John Hospital and Ascension Providence Rochester Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Milne was last updated on April 8, 2020. 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.