JONATHAN B MILLER (PA-C) – Medical Physician Assistant, NPI 1376570440

JONATHAN B MILLER (PA-C) is a healthcare provider. based in Boise, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA549 (ID). The NPI Number for JONATHAN B MILLER (PA-C) is 1376570440

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN B MILLER (PA-C)
NPI
1376570440
Phone
(208) 367-3320
Address
900 N LIBERTY ST STE 400
Enumeration Date
26 June 2006
Last Update Date
8 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083364368
Graduation Year
2004 (22 years ago)
PAC ID
3274572383
Group Practice PAC ID
0042402034
Professional Enrollment ID
I20050428000287
Address ID
ID837048707BO900XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for JONATHAN B MILLER (PA-C)

  • 900 N LIBERTY ST STE 400

    BOISE, ID 837048707

    Phone: (208) 367-3320

    Type: Mailing

  • 2620, East Barnett Road, Medford, Jackson County, Oregon, 97504, United States

    SUITE #H

    MEDFORD, OR 975048344

    Phone: (541) 789-4281

    Fax: (541) 789-5538

    Type: Mailing

  • 537, Union Avenue, Grants Pass, Josephine County, Oregon, 97527, United States

    SECOND FLOOR

    GRANTS PASS, OR 975275543

    Phone: (541) 476-7775

    Fax: (541) 472-3572

    Type: Location

  • 14877 W BELL RD STE 101

    SURPRISE, AZ 853747610

    Phone: (623) 207-7560

    Fax: (623) 234-4642

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($27).

Total Amount

$117

General + Research + Ownership

Payments

6

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-04-28

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
I20050428000287IPhysician AssistantIDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes212179$0
69210Removal of impacted ear wax11392$0
31231Diagnostic exam of nasal passages using an endoscope9988$0
99203New patient office or other outpatient visit, 30-44 minutes8787$0
92567Test to assess middle ear function6563$0
View full utilization report →

Insurance plans in this area (ZIP 83704)

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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: 0042402034View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YID
Physician AssistantID
O T O L A R Y N G O L O G YOR
Qualified AudiologistWA
-ID
Qualified AudiologistID
-ID
O T O L A R Y N G O L O G YNE
O T O L A R Y N G O L O G YID
Otolaryngology, Plastic And Reconstructive SurgeryAZ

Reviews

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Frequently asked questions

How do I look up JONATHAN B MILLER (PA-C) by NPI?
Use NPI 1376570440 when you need to reference JONATHAN B MILLER (PA-C) in forms, claims, or directories.
Is JONATHAN B MILLER (PA-C) active in the national directory?
JONATHAN B MILLER (PA-C)'s public NPI profile is in an active state.
Does JONATHAN B MILLER (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for JONATHAN B MILLER (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place JONATHAN B MILLER (PA-C)?
The snapshot lists Boise, Idaho for JONATHAN B MILLER (PA-C); download NPPES for the complete set.
Is JONATHAN B MILLER (PA-C) a real provider?
This page reflects official NPPES data for NPI 1376570440. Always confirm identity and privileges with the practice and licensing boards.

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