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ROBERT MACMILLAN MD
NPI 1699736462
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
8012 FRANKFORD AVE, PHILADELPHIA, PA 19136(215) 624-1758(215) 624-3153 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Robert Macmillan Md NPPES

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

ROBERT MACMILLAN MD (NPI 1699736462) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD011831E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Nazareth Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1969).

NPPES Registry Identity

NPI1699736462
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameROBERT MACMILLANCredential: MD
Location Address8012 FRANKFORD AVEPhiladelphia, PA 19136-2616
Mailing AddressPo Box 8500-8735Philadelphia, PA 19178-0001 · (215) 456-7000 · Fax (215) 254-2599
Phone(215) 624-1758
Fax(215) 624-3153
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1969
Enumeration DateMarch 31, 2006
Last NPPES UpdateOctober 10, 2014
✔ NPI 1699736462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD011831E
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
8012 FRANKFORD AVE, Philadelphia, PA 19136
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND20000
Medicare ID-Type Unspecified151064
Medicaid0011828010012PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Macmillan 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 ID6002807443
PECOS Enrollment IDI20040524000312
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 6

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
145 services88 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
43 services31 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.
40 services31 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
38 services37 patients
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.
26 services20 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390204
Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19136 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 3

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

DANIEL JOSEPH VILE DO
Internal Medicine (Cardiovascular Disease)
8012 FRANKFORD AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 624-1758
MS. ASYA BRAGINSKY PA-C
Physician Assistant (Medical)
8012 FRANKFORD AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 516-6830
YELENA RYBAK CRNP
Nurse Practitioner
8012 FRANKFORD AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 516-6830

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 Macmillan's NPI number?

The NPI number for Robert Macmillan is 1699736462. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Robert Macmillan located?

Robert Macmillan practices at 8012 Frankford Ave, Philadelphia, PA 19136. The listed phone number is (215) 624-1758.

What is Robert Macmillan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Robert Macmillan enrolled in Medicare?

Yes. Robert Macmillan 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 Macmillan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Robert Macmillan 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 Macmillan affiliated with any hospitals?

According to CMS data, Robert Macmillan is affiliated with Nazareth Hospital.

When was this NPI record last updated?

The NPPES record for Robert Macmillan was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.