MARK HERMAN MILLER DC
NPI 1811192313
Chiropractor in Fairfax, VA

Active since June 15, 2007Accepts Medicare Assignment
12011 LEE JACKSON HWY, SUITE 100, FAIRFAX, VA 22033(703) 352-0706(703) 352-6954 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mark Herman Miller Dc NPPES

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

MARK HERMAN MILLER DC (NPI 1811192313) is an individual chiropractor in Fairfax, Virginia, licensed in Virginia (0104001118) and active in the NPI registry since June 2007. He is a graduate of Other (1992).

NPPES Registry Identity

NPI1811192313
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMARK HERMAN MILLERCredential: DC
Location Address12011 LEE JACKSON HWY, SUITE 100Fairfax, VA 22033
Mailing Address12011 Lee Jackson Hwy, Suite 100Fairfax, VA 22033 · (703) 352-0706 · Fax (703) 352-6954
Fax(703) 352-6954
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811192313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104001118
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12011 LEE JACKSON HWY, Fairfax, VA 22033

Other Identifiers 3

Other44280001MD · Bcbs
Other44280001DC · Bcbs
Medicare ID-Type Unspecified0089918

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

Mark Herman Miller Dc 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 ID446239016
PECOS Enrollment IDI20040716000673

Medicare Billing Reassignment

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

Chiropractor
12011 LEE JACKSON HWY, SUITE 100
Fairfax, VA 22033
  • Reassigned Medicare billing, District of Columbia enrollment

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

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
623 services35 patients

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Dental)
12011 LEE JACKSON HWY, SUITE 105
FAIRFAX, VA 22033
Family Medicine
12011 LEE JACKSON HWY, SUITE 504
FAIRFAX, VA 22033
Pharmacist
12011 LEE JACKSON HWY
FAIRFAX, VA 22033
Respiratory Therapist, Certified (Pulmonary Function Technologist)
12011 LEE JACKSON HWY
FAIRFAX, VA 22033
Specialist/Technologist, Other (Surgical Assistant)
12011 LEE JACKSON HWY
FAIRFAX, VA 22033
Chiropractor
12011 LEE JACKSON HWY, SUITE 100
FAIRFAX, VA 22033
Physician Assistant (Surgical)
12011 LEE JACKSON HWY, 4TH FLOOR SPINE SURGERY
FAIRFAX, VA 22033
Dentist
12011 LEE JACKSON HWY, SUITE 503
FAIRFAX, VA 22033

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 Mark Miller's NPI number?

The NPI number for Mark Miller is 1811192313. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Mark Miller located?

Mark Miller practices at 12011 Lee Jackson Hwy Suite 100, Fairfax, VA 22033. The listed phone number is (703) 352-0706.

What is Mark Miller's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mark Miller enrolled in Medicare?

Yes. Mark 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 Mark Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Miller reassigns Medicare benefits to Miller Chiropractic Of Fair Oaks,pc (Fairfax, VA). 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 Mark Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Miller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.