KARL A MILLER D.O.
NPI 1730124710
Family Medicine in Gorham, ME

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
19 S GORHAM XING, GORHAM, ME 04038(207) 839-9101(207) 839-9201 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karl A Miller D.o. NPPES

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

KARL A MILLER D.O. (NPI 1730124710) is an individual family medicine provider in Gorham, Maine, licensed in Maine (1374) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1990).

NPPES Registry Identity

NPI1730124710
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKARL A MILLERCredential: D.O.
Location Address19 S GORHAM XINGGorham, ME 04038-2690
Mailing Address144 State StPortland, ME 04101-3776 · (207) 879-3000
Fax(207) 839-9201
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1990
Enumeration DateJune 17, 2006
Last NPPES UpdateJuly 6, 2010
✔ NPI 1730124710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · 1374
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.
19 S GORHAM XING, Gorham, ME 04038

Other Identifiers 9

OtherP00153895Railroad
OtherM72985Cigna
Other3415207ME · Aetna
Medicaid275630099ME
Medicare ID-Type UnspecifiedMM4744ME
Other02293ME · Anthem
Medicare UPINF51738ME
Medicare PINSX2604ME
Other713554MP · Harvard

Accepted 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

Karl A 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 ID1153314208
PECOS Enrollment IDI20040406000134
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 Karl Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
195 FORE RIVER PKWY, SUITE 300
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 322 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04038 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Primary Care)
19 S GORHAM XING
GORHAM, ME 04038
Family Medicine
19 S GORHAM XING
GORHAM, ME 04038
Physician Assistant
19 S GORHAM XING
GORHAM, ME 04038
Nurse Practitioner (Family)
19 S GORHAM XING
GORHAM, ME 04038
Family Medicine
19 S GORHAM XING
GORHAM, ME 04038
Nurse Practitioner (Family)
19 S GORHAM XING
GORHAM, ME 04038
Family Medicine
19 S GORHAM XING
GORHAM, ME 04038

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 Karl Miller's NPI number?

The NPI number for Karl Miller is 1730124710. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Karl Miller located?

Karl Miller practices at 19 S Gorham Xing, Gorham, ME 04038. The listed phone number is (207) 839-9101.

What is Karl Miller's specialty?

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

Is Karl Miller enrolled in Medicare?

Yes. Karl 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 Karl Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karl Miller reassigns Medicare benefits to Mercy Hospital (Portland, ME). 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 Karl Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karl Miller accept?

Health plans from Taro Health list Karl 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.

When was this NPI record last updated?

The NPPES record for Karl Miller was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.