MARK MILLER (DO) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1447245501

MARK MILLER (DO) is a healthcare provider. based in Grand rapids, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101010914 (MI). The NPI Number for MARK MILLER (DO) is 1447245501

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MARK MILLER (DO)
NPI
1447245501
Phone
(800) 968-6866
Address
200 JEFFERSON AVE SE
Enumeration Date
14 September 2005
Last Update Date
1 May 2009

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2697828681
Graduation Year
1988 (38 years ago)
PAC ID
1355233081
Group Practice PAC ID
9931635430
Professional Enrollment ID
I20060202000166
Address ID
MI490471943DO420XXSTXX400
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

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for MARK MILLER (DO)

  • Trinity Health Grand Rapids Hospital, 200, Jefferson Avenue Southeast, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034502

    Phone: (800) 968-6866

    Type: Location

  • PO BOX Q

    GRAND RAPIDS, MI 495014917

    Phone: (800) 968-6866

    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: 2006-02-02

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
I20060202000166IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making124121$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7468$0
99284Emergency department visit with moderate level of medical decision making4242$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 9931635430View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicinePA
Emergency MedicineKY
Emergency MedicineOK
Emergency MedicinePA
Emergency MedicineMI
Emergency MedicineWI
Emergency MedicineMI
Emergency MedicinePA
Emergency MedicineMI

Reviews

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Frequently asked questions

How do I look up MARK MILLER (DO) by NPI?
Use NPI 1447245501 when you need to reference MARK MILLER (DO) in forms, claims, or directories.
Is MARK MILLER (DO) active in the national directory?
MARK MILLER (DO)'s public NPI profile is in an active state.
Can you summarize MARK MILLER (DO)'s specialty in plain language?
Clinically, the directory lists MARK MILLER (DO) with Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is MARK MILLER (DO)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for MARK MILLER (DO).
Is MARK MILLER (DO) a real provider?
This page reflects official NPPES data for NPI 1447245501. Always confirm identity and privileges with the practice and licensing boards.

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