JUSTIN R MILLER (D.O.) – Gastroenterology Physician, NPI 1104879493

JUSTIN R MILLER (D.O.) is a healthcare provider. based in Grand blanc, Michigan. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101014510 (MI). The NPI Number for JUSTIN R MILLER (D.O.) is 1104879493

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN R MILLER (D.O.)
NPI
1104879493
Phone
(810) 603-8400
Address
600 HEALTH PARK BLVD
Enumeration Date
18 May 2006
Last Update Date
4 January 2010

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8102323522
Graduation Year
2000 (26 years ago)
PAC ID
9638181449
Group Practice PAC ID
2062323033
Professional Enrollment ID
I20060619000050
Address ID
MI485021803FL420XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

648 GASTROENTEROLOGY in MI

Provider Addresses for JUSTIN R MILLER (D.O.)

  • 600 HEALTH PARK BLVD

    SUITE D

    GRAND BLANC, MI 484392558

    Phone: (810) 603-8400

    Type: Location

  • 3495, South Center Road, Burton, Genesee County, Michigan, 48519, United States

    BURTON, MI 485191455

    Phone: (810) 424-2007

    Fax: (810) 743-1099

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $1,296.

Total Amount is formed as General ($1,296) + Research ($0) + Ownership ($0) = $1,296.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($663).

Total Amount

$1,296

General + Research + Ownership

Payments

34

Total payment records

General Amount

$1,296

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2006-06-19

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
I20060619000050IGastroenterologyMITBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare109109$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6261$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6260$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6248$0
99213Established patient office or other outpatient visit, 20-29 minutes5544$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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Provider's Procedures

JUSTIN R MILLER (D.O.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMI43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope1616
GASTROENTEROLOGYMI45378Diagnostic examination of large bowel using an endoscope1515
GASTROENTEROLOGYMI45385Removal of polyps or growths of large bowel using an endoscope100100

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: 2062323033View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
-MI
Family PracticeMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI

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Frequently asked questions

Does JUSTIN R MILLER (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JUSTIN R MILLER (D.O.) uses 1104879493.
Is JUSTIN R MILLER (D.O.) listed as active for patients and plans?
The listing shows JUSTIN R MILLER (D.O.) as active in the NPI system.
What healthcare role does JUSTIN R MILLER (D.O.) hold?
Scheduling teams often label JUSTIN R MILLER (D.O.) under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JUSTIN R MILLER (D.O.) on a map?
Expect Grand Blanc, Michigan as a primary anchor for JUSTIN R MILLER (D.O.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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