ROXANNE GILLIAN MCMILLAN (D.O) – Surgery Physician, NPI 1336366160

ROXANNE GILLIAN MCMILLAN (D.O) is a healthcare provider. based in Woodhaven, Michigan. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials D.O. They hold a License No. 036157203 (IL). The NPI Number for ROXANNE GILLIAN MCMILLAN (D.O) is 1336366160

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ROXANNE GILLIAN MCMILLAN (D.O)
NPI
1336366160
Phone
(410) 598-7164
Address
22072 FAIRLANE BLVD
Enumeration Date
20 April 2007
Last Update Date
24 December 2024

Doctor Profile

Medical School Name
LAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
8887122753
Graduation Year
2015 (11 years ago)
PAC ID
1759468267
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20221213002315
Address ID
IL618012501UR611XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

Provider Addresses for ROXANNE GILLIAN MCMILLAN (D.O)

  • 22072 FAIRLANE BLVD

    WOODHAVEN, MI 481831687

    Phone: (410) 598-7164

    Type: Mailing

  • 2333 BIDDLE AVE

    WYANDOTTE, MI 481924668

    Phone: (734) 246-6000

    Type: Location

  • 2333 Biddle Ave

    Wyandotte, MI 481924668

    Phone: (734) 246-6000

    Type: Location

  • 611 W PARK

    FAPC

    URBANA, IL 61802

    Phone: (217) 902-6954

    Fax: (217) 902-7711

    Type: Mailing

  • 2652 JADE RUN

    APT 1

    BEAVERCREEK, OH 454313742

    Phone: (410) 598-7164

    Type: Mailing

  • 3105 FIELDS SOUTH DR

    CHAMPAIGN, IL 618223743

    Phone: (217) 383-3240

    Type: Location

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: 2022-12-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221204000064IGeneral SurgeryPATBD
I20221213002315IGeneral SurgeryILTBD

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
99291Critical care, first 30-74 minutes7223$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5632$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3737$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2619$0
99239Hospital discharge day management, more than 30 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 48183)

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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: 3577515774View full group profile
NameSpecialtyState
P S Y C H I A T R YIL
P S Y C H I A T R YIL
G A S T R O E N T E R O L O G YIL
Family Practice, Psychiatry, Family PracticeNY
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
Interventional Radiology, Diagnostic RadiologyDE

Reviews

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Frequently asked questions

How is ROXANNE GILLIAN MCMILLAN (D.O) identified in CMS data?
CMS-hosted NPPES data lists ROXANNE GILLIAN MCMILLAN (D.O) with NPI 1336366160.
Can I rely on ROXANNE GILLIAN MCMILLAN (D.O) being an active provider?
As of the registry snapshot, ROXANNE GILLIAN MCMILLAN (D.O) is marked active.
What is ROXANNE GILLIAN MCMILLAN (D.O) best known for clinically?
Directory data describes ROXANNE GILLIAN MCMILLAN (D.O) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is ROXANNE GILLIAN MCMILLAN (D.O) based?
ROXANNE GILLIAN MCMILLAN (D.O) is tied to Woodhaven, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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