DR. LONNY D MILLER (MD) – Family Medicine Physician, NPI 1255568119
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
483 EMERGENCY MEDICINE in IA
Provider Addresses for DR. LONNY D MILLER (MD)
909 W 1ST ST
SUMNER, IA 506741203
Phone: (563) 578-5375
Fax: (563) 578-2163
Type: Location
Southwest Foot and Ankle Center, 1610, West Townline Street, Creston, Union County, Iowa, 50801, United States
CRESTON, IA 508011066
Phone: (641) 782-2131
Fax: (641) 782-6425
Type: Mailing
1401 140TH ST
CRESTON, IA 508018026
Phone: (641) 745-9428
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120911000564 | I | Emergency Medicine | IA | TBD |
| I20220908002591 | I | Family Practice | NE | TBD |
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.
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 50674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Family Practice | IA | |
| Family Practice | IL | |
| Nurse Practitioner | IA | |
| Physician Assistant | IA | |
| Family Practice, Emergency Medicine | IA | |
| Nurse Practitioner | IA |
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