DR. MICHAEL LEE MILLER (M.D.) – Vascular Surgery Physician, NPI 1154390730

DR. MICHAEL LEE MILLER (M.D.) is a healthcare provider. based in Crestview, Florida. specializing in Vascular Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 023433 (LA). The NPI Number for DR. MICHAEL LEE MILLER (M.D.) is 1154390730

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL LEE MILLER (M.D.)
NPI
1154390730
Phone
(850) 682-2596
Address
4607 CHANAN DRIVE
Enumeration Date
16 March 2006
Last Update Date
9 January 2012

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2567347850
Graduation Year
1996 (30 years ago)
PAC ID
1456518042
Group Practice PAC ID
8729419874
Professional Enrollment ID
I20180216000612
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. MICHAEL LEE MILLER (M.D.)

  • 4607 CHANAN DRIVE

    CRESTVIEW, FL 32539

    Phone: (850) 682-2596

    Type: Mailing

  • 11, Racetrack Road Northeast, Ocean City, Fort Walton Beach, Okaloosa County, Florida, 32547, United States

    SUITE E4

    FORT WALTON BEACH, FL 325471882

    Phone: (850) 200-4574

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-02-13 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-13

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180216000612IVascular SurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32539)

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Provider's Procedures

DR. MICHAEL LEE MILLER (M.D.) performs procedures in Vascular Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle5537

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729419874View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)NY
General SurgeryAL
Nurse PractitionerTN
Orthopedic SurgeryAL
General Surgery, Emergency MedicineAL
Osteopathic Manipulative Medicine, Family PracticeAL
Family PracticeAL
Cardiovascular Disease (Cardiology), Internal MedicineAL
-AL
Cardiovascular Disease (Cardiology), Internal MedicineAL

Reviews

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Frequently asked questions

Is there an official ID for DR. MICHAEL LEE MILLER (M.D.) in U.S. healthcare records?
The official identifier for DR. MICHAEL LEE MILLER (M.D.) is NPI 1154390730.
Is DR. MICHAEL LEE MILLER (M.D.) still an active registrant?
DR. MICHAEL LEE MILLER (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. MICHAEL LEE MILLER (M.D.)?
At a glance, DR. MICHAEL LEE MILLER (M.D.) is tied to Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL LEE MILLER (M.D.) located near Crestview?
DR. MICHAEL LEE MILLER (M.D.) currently maps to Crestview, Florida in this extract.
Does DR. MICHAEL LEE MILLER (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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