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ERIC D MILLER MD
NPI 1720047863
Family Medicine in Beaver Dam, WI

Active since March 18, 2006Opted out of Medicare · through Feb 23, 2027
211 CORPORATE DR STE H, BEAVER DAM, WI 53916(920) 219-4599(920) 306-8018 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric D Miller Md NPPES

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

ERIC D MILLER MD (NPI 1720047863) is an individual family medicine provider in Beaver Dam, Wisconsin, licensed in Wisconsin (35615) and active in the NPI registry since March 2006. He has opted out of Medicare through February 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720047863
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC D MILLERCredential: MD
Location Address211 CORPORATE DR STE HBeaver Dam, WI 53916-3119
Mailing Address211 Corporate Dr Ste HBeaver Dam, WI 53916-3119 · (920) 219-4599 · Fax (920) 306-8018
Phone(920) 219-4599
Fax(920) 306-8018
Sole ProprietorNo
Enumeration DateMarch 18, 2006
Last NPPES UpdateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
✔ NPI 1720047863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 35615
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.
211 CORPORATE DR STE H, Beaver Dam, WI 53916
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Eric D Miller Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2021 through February 23, 2027.

Opt-Out Effective DateFebruary 23, 2021
Opt-Out In Effect ThroughFebruary 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Eric Miller's NPI number?

The NPI number for Eric Miller is 1720047863. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Where is Eric Miller located?

Eric Miller practices at 211 Corporate Dr Ste H, Beaver Dam, WI 53916. The listed phone number is (920) 219-4599.

What is Eric Miller's specialty?

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

Is Eric Miller enrolled in Medicare?

No. Eric Miller has opted out of Medicare through February 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eric Miller was last updated on July 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.