DR. THEODORE H MILLER M.D., PHD.
NPI 1720078264
Otolaryngology in Ft. Thomas, KY

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
40 NORTH GRAND AVE., SUITE 101, FT. THOMAS, KY 41075(859) 781-4900(859) 781-3039 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 27, 2018, Nov 28, 2017 (2 updates tracked since 2017).

About Dr. Theodore H Miller M.d., Phd. NPPES

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

DR. THEODORE H MILLER M.D., PHD. (NPI 1720078264) is an individual otolaryngology provider in Ft. Thomas, Kentucky, licensed in Kentucky (25084) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of University Of Louisville School Of Medicine (1980).

NPPES Registry Identity

NPI1720078264
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. THEODORE H MILLERCredential: M.D., PHD.
Location Address40 NORTH GRAND AVE., SUITE 101Ft. Thomas, KY 41075
Mailing Address40 N Grand Ave Ste 103Fort Thomas, KY 41075-1765 · (859) 781-4900 · Fax (859) 572-3039
Fax(859) 781-3039
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1980
Enumeration DateOctober 26, 2005
Last NPPES UpdateApril 27, 20182 updates tracked since enumeration
NPI 1720078264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in KY · 25084
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 25084 (KY)
40 NORTH GRAND AVE., Ft. Thomas, KY 41075

Other Identifiers 2

Medicaid64250848OH
Other000000033216Anthem Bc/bs

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. Theodore H Miller M.d., Phd. 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 ID6406856921
PECOS Enrollment IDI20070108000266, I20070404000440
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

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.
22 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41075 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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 Theodore Miller's NPI number?

The NPI number for Theodore Miller is 1720078264. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Theodore Miller located?

Theodore Miller practices at 40 North Grand Ave. Suite 101, Ft. Thomas, KY 41075. The listed phone number is (859) 781-4900.

What is Theodore Miller's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Theodore Miller enrolled in Medicare?

Yes. Theodore 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.

What insurance does Theodore Miller accept?

Health plans from MedMutual list Theodore 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 Theodore Miller affiliated with any hospitals?

According to CMS data, Theodore Miller is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Theodore Miller was last updated on April 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.