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JOSEPH W MILLER PA-C
NPI 1942653878
Physician Assistant in Sheboygan, WI

Active since July 15, 2016PECOS EnrolledAccepts Medicare Assignment
1414 N TAYLOR DR, SHEBOYGAN, WI 53081(920) 476-6300 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2024, Feb 12, 2018, Sep 29, 2016 and 1 more (4 updates tracked since 2016).

About Joseph W Miller Pa-c NPPES

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

JOSEPH W MILLER PA-C (NPI 1942653878) is an individual physician assistant in Sheboygan, Wisconsin, licensed in Wisconsin (3805-23) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1942653878
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSEPH W MILLERCredential: PA-C
Location Address1414 N TAYLOR DRSheboygan, WI 53081-1988
Mailing Address1414 N. Taylor Dr.Sheboygan, WI 53081-3090 · (920) 476-6300
Phone(920) 476-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 15, 2016
Last NPPES UpdateFebruary 6, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1942653878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 3805-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1414 N TAYLOR DR, Sheboygan, WI 53081
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Other Identifiers 1

Medicaid1942653878WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network Health.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

Joseph W Miller Pa-c 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 ID7618262171
PECOS Enrollment IDI20160823000656
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.

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.
323 services143 patients

Hospital Affiliations CMS Care Compare 2

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
17%46 patients1/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%3,006 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%250 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
63%364 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 78% · 635 patients
76%635 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%364 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%364 patients1/55-star benchmark: 79%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
64%757 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 634 patients
0%634 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

DR. LOUIE COULIS M.D.
Internal Medicine (Cardiovascular Disease)
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 458-9800
KENNETH SIEBELS OTR/L
Occupational Therapist
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 476-6300
MICHELLE VINE PT
Physical Therapist
1414 N TAYLOR DR, SUITE 105
SHEBOYGAN, WI 53081
Sheboygan County (920) 459-8475
EMILY JACOBSON DPT
Physical Therapist
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 476-6300
GRANT MICHAEL ROETHEL
Nurse Practitioner
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 476-6300
KRISTOPHER T. KNOUS OD
Optometrist
1414 N TAYLOR DR, SUITE 105
SHEBOYGAN, WI 53081
Sheboygan County (920) 208-7700
CARMEN RUIZ APNP
Nurse Practitioner (Family)
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 476-6300
DR. ALOYS LOUIS TAUSCHECK JR. M.D.,J.D.
Dermatology
1414 N TAYLOR DR, SUITE 144
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-3376

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 Joseph Miller's NPI number?

The NPI number for Joseph Miller is 1942653878. It was assigned to this individual provider in the NPPES registry on July 15, 2016.

Where is Joseph Miller located?

Joseph Miller practices at 1414 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (920) 476-6300.

What is Joseph Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joseph Miller enrolled in Medicare?

Yes. Joseph 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 Joseph Miller accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Network Health list Joseph 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 Joseph Miller affiliated with any hospitals?

According to CMS data, Joseph Miller is affiliated with St Nicholas Hospital and Holy Family Memorial.

When was this NPI record last updated?

The NPPES record for Joseph Miller was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.