DR. DOUGLAS MICHAEL MILLER D.O.
NPI 1689966954
Orthopaedic Surgery in Neenah, WI

Active since May 05, 2011PECOS EnrolledAccepts Medicare Assignment
83.88/100
CMS Quality Rating
1205 W AMERICAN DR, NEENAH, WI 54956(920) 430-8113 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 3, 2022, May 12, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Douglas Michael Miller D.o. NPPES

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

DR. DOUGLAS MICHAEL MILLER D.O. (NPI 1689966954) is an individual orthopaedic surgery provider in Neenah, Wisconsin, licensed in Wisconsin (67435) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689966954
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DOUGLAS MICHAEL MILLERCredential: D.O.
Location Address1205 W AMERICAN DRNeenah, WI 54956-1405
Mailing Address2223 Lime Kiln Rd Ste 1Green Bay, WI 54311-6213 · (920) 430-8113
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 5, 2011
Last NPPES UpdateMay 3, 20224 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
NPI 1689966954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 67435
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1205 W AMERICAN DR, Neenah, WI 54956

Other Identifiers 1

Medicaid100070135WI

Accepted 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

Dr. Douglas Michael Miller D.o. 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 ID3577837582
PECOS Enrollment IDI20170914001439
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
99 services83 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
97 services67 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.
96 services89 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
70 services55 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
63 services61 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.
53 services53 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

83.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality57.1
Promoting Interoperability87
Improvement Activities40
Cost100

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Documentation of Current Medications in the Medical Record 100% 1923
e-Prescribing 100% 243
Falls: Screening for Future Fall Risk 100% 660
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97% 423
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89% 36
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98% 423
Provide Patients Electronic Access to Their Health Information 73% 532
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 53% 159
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
706
Use of High-Risk Medications in Older Adults 1% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
706
Use of High-Risk Medications in Older Adults 1% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
706

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1205 W AMERICAN DR
NEENAH, WI 54956
Pain Medicine (Interventional Pain Medicine)
1205 W AMERICAN DR
NEENAH, WI 54956
Clinic/Center (Ambulatory Surgical)
1205 W AMERICAN DR
NEENAH, WI 54956
Nurse Practitioner (Family)
1205 W AMERICAN DR
NEENAH, WI 54956
Nurse Practitioner
1205 W AMERICAN DR
NEENAH, WI 54956
Internal Medicine (Rheumatology)
1205 W AMERICAN DR
NEENAH, WI 54956
Orthopaedic Surgery
1205 W AMERICAN DR
NEENAH, WI 54956
Orthopaedic Surgery
1205 W AMERICAN DR
NEENAH, WI 54956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689966954, enumerated as an "individual" on May 05, 2011.

The provider is located at 1205 W AMERICAN DR NEENAH, WI 54956 and the phone number is (920) 430-8113.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Network Health,. Please consult your insurance carrier or call the provider to verify.

Douglas Miller is affiliated with: ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS, THEDACARE REGIONAL MED CTR - NEENAH and AURORA MEDICAL CTR OSHKOSH.