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DR. JACQUALIN MILLER D.O.
NPI 1831345644
Obstetrics & Gynecology in Lodi, CA

Active since August 12, 2008PECOS EnrolledAccepts Medicare Assignment
2415 W VINE ST STE 103, LODI, CA 95242(209) 333-3117(209) 367-5602 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2025, Sep 16, 2022 (2 updates tracked since 2022).

About Dr. Jacqualin Miller D.o. NPPES

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

DR. JACQUALIN MILLER D.O. (NPI 1831345644) is an individual obstetrics & gynecology provider in Lodi, California, licensed in California (12148) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2008).

NPPES Registry Identity

NPI1831345644
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. JACQUALIN MILLERCredential: D.O.
Location Address2415 W VINE ST STE 103Lodi, CA 95242-3731
Mailing Address2546 Kirsten CtLodi, CA 95240-8883 · (330) 807-0873
Phone(209) 333-3117
Fax(209) 367-5602
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2008
Enumeration DateAugust 12, 2008
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1831345644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CA · 12148✔ Licensed in OH · NOT YET ISSUED✔ Licensed in CA · 20A12148
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2415 W VINE ST STE 103, Lodi, CA 95242
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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

Dr. Jacqualin 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 ID5597980862
PECOS Enrollment IDI20140628000054
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 Reassignments

2

Medicare enrollment records show Jacqualin Miller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lodi Memorial Hospital Association Inc
Same address
Primary Care
2415 W VINE ST STE 105
Lodi, CA 95242
  • Reassigned Medicare billing, California enrollment
  • 221 clinicians in this Medicare group
NPI 1306855523 (209) 333-3121
P. Gill Obstetrics & Gynecology Medical Group, Inc.
1.0 mi
Obstetrics & Gynecology
999 S FAIRMONT AVE, STE 230
Lodi, CA 95240
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group
NPI 1386636165 (209) 465-5550

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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
32 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95242 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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 Jacqualin Miller's NPI number?

The NPI number for Jacqualin Miller is 1831345644. It was assigned to this individual provider in the NPPES registry on August 12, 2008.

Where is Jacqualin Miller located?

Jacqualin Miller practices at 2415 W Vine St Ste 103, Lodi, CA 95242. The listed phone number is (209) 333-3117.

What is Jacqualin Miller's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacqualin Miller enrolled in Medicare?

Yes. Jacqualin 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 organizations bill Medicare for Jacqualin Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqualin Miller reassigns Medicare benefits to 2 organizations: Lodi Memorial Hospital Association Inc (Lodi, CA) and P. Gill Obstetrics & Gynecology Medical Group, Inc. (Lodi, CA). Each 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 Jacqualin 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 Jacqualin Miller was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.