ANDREW TYLER MILLER (MD) – Diagnostic Radiology Physician, NPI 1083022198

ANDREW TYLER MILLER (MD) is a healthcare provider. based in Waconia, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 66523 (MN). The NPI Number for ANDREW TYLER MILLER (MD) is 1083022198

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW TYLER MILLER (MD)
NPI
1083022198
Phone
(952) 442-2191
Address
500 S MAPLE ST
Enumeration Date
1 August 2014
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
9196848111
Graduation Year
2014 (12 years ago)
PAC ID
3870824527
Group Practice PAC ID
1355254368
Professional Enrollment ID
I20191009003510
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for ANDREW TYLER MILLER (MD)

  • 500 S MAPLE ST

    WACONIA, MN 553871791

    Phone: (952) 442-2191

    Type: Mailing

  • 7505 METRO BLVD STE 400

    EDINA, MN 554393010

    Phone: (612) 573-2200

    Fax: (612) 573-2274

    Type: Mailing

  • 7595 ANAGRAM DR

    EDEN PRAIRIE, MN 553447399

    Phone: (612) 573-2200

    Fax: (612) 573-2274

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Inari Medical, Inc. ($46).

Total Amount

$105

General + Research + Ownership

Payments

4

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2020-10-23

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
I20200522000104IDiagnostic RadiologyMNTBD
I20201023002738IDiagnostic RadiologyNDTBD

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
71046X-ray of chest, 2 views262242$0
71045X-ray of chest, 1 view245208$0
74177Ct scan of abdomen and pelvis with contrast176168$0
77067Screening mammography158158$0
77063Screening 3d breast mammography152152$0
View full utilization report →

Insurance plans in this area (ZIP 55387)

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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: 1355254368View full group profile

Reviews

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Frequently asked questions

What is the standard ID for ANDREW TYLER MILLER (MD) in the U.S.?
In the U.S., ANDREW TYLER MILLER (MD) is identified by NPI 1083022198.
Should I treat ANDREW TYLER MILLER (MD) as an active provider?
Patients and plans typically see ANDREW TYLER MILLER (MD) as active in the national extract.
What does the directory say ANDREW TYLER MILLER (MD) does?
Insurance directories may phrase it differently, but here ANDREW TYLER MILLER (MD) maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is ANDREW TYLER MILLER (MD) tied to Waconia, Minnesota?
If you are local to Waconia, Minnesota, ANDREW TYLER MILLER (MD) may be relevant to your search.
Can I export ANDREW TYLER MILLER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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