ETHAN MILLER
NPI 1710418991
Anesthesiology in St Augustine, FL

Q: What is Ethan Miller's NPI number?

The NPI number for Ethan Miller is 1710418991. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Q: What is Ethan Miller's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Miller was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086(904) 200-5911 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 28, 2021, Mar 21, 2017 (2 updates tracked since 2017).

On this page

About Ethan Miller NPPES

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

ETHAN MILLER (NPI 1710418991) is an individual anesthesiology provider in St Augustine, Florida, licensed in Florida (ME150027) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Wake Forest University School Of Medicine (2017).

NPPES Registry Identity

NPI1710418991

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameETHAN MILLER

Location Address400 HEALTH PARK BLVDSt Augustine, FL 32086-5784

Mailing Address400 Health Park BlvdSt Augustine, FL 32086-5784

Phone(904) 200-5911

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 2017

Enumeration DateMarch 21, 2017

Last NPPES UpdateApril 28, 20212 updates tracked since enumeration

NPPES CertifiedApril 28, 2021

✔ NPI 1710418991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in FL · ME150027

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

400 HEALTH PARK BLVD, St Augustine, FL 32086

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.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

Ethan Miller 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 ID1951674100

PECOS Enrollment IDI20230508000788

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 Reassignment

Medicare enrollment records show Ethan Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spartanburg Medical Center

320 mi

Internal Medicine

166 MAIN ST
Whitmire, SC 29178

Reassigned Medicare billing, South Carolina enrollment
Also billed through NPI 1649424151 (South Carolina), NPI 1164807376 (South Carolina)
754 clinicians in this Medicare group

NPI 1699150995 (864) 560-6563

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 13

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

33 services33 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

26 services26 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

21 services21 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

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.

20 services20 patients

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

19 services19 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.

19 services11 patients

Anesthesia for placement or revision of blood flow shunt 01844

Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

Anesthesia for other procedure on upper abdomen 00790

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

13 services13 patients

Anesthesia for other procedure on lower abdomen 00840

Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.

13 services13 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

12 services12 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420043

Location1530 N Limestone StGaffney, SC 29340 · Cherokee County

Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420103

Location250 Westmoreland RoadGreer, SC 29651 · Greenville County

Emergency services

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.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

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.

HEATHER LESHANE P.T.

Physical Therapist

400 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 819-4374

MANDANA DAVANI M.D.

Radiology (Diagnostic Radiology)

400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 819-4398

DAVID S GOINS PA

Physician Assistant

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 826-4700

TERESA M MAZUR MD

Emergency Medicine

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 826-4700

RIPP A SMITH M.D.

Radiology (Diagnostic Radiology)

400 HEALTH PARK BLVD, ATTN: ST. JOHNS RADIOLOGY ASSOCIATES
ST AUGUSTINE, FL 32086

St. Johns County (904) 819-4398

HOSPITALIST MEDICINE PHYSICIANS OF MISSISSIPPI-TCS, INC.

Internal Medicine

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (615) 377-5658

MR. GARY WAYNE CATER D.O.

Pediatrics (Neonatal-Perinatal Medicine)

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 819-4478

EMILY MCCARTHY

Nurse Anesthetist, Certified Registered

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 819-5155

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 Ethan Miller's NPI number?

The NPI number for Ethan Miller is 1710418991. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Ethan Miller located?

Ethan Miller practices at 400 Health Park Blvd, St Augustine, FL 32086. The listed phone number is (904) 200-5911.

What is Ethan Miller's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Ethan Miller enrolled in Medicare?

Yes. Ethan Miller 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 organization bills Medicare for Ethan Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Miller reassigns Medicare benefits to Spartanburg Medical Center (Whitmire, SC). The 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 Ethan Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Miller accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Ethan Miller 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 Ethan Miller affiliated with any hospitals?

According to CMS data, Ethan Miller is affiliated with Spartanburg Medical Center, Cherokee Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Ethan Miller was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.