WILLIAM D MCMILLAN (MD) – Vascular Surgery Physician, NPI 1194717371
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
122 VASCULAR SURGERY in MN
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Provider Addresses for WILLIAM D MCMILLAN (MD)
2800, Campus Drive, Plymouth, Hennepin County, Minnesota, 55441, United States
STE 10
PLYMOUTH, MN 554412645
Phone: (763) 559-2171
Fax: (763) 694-9000
Type: Mailing
North Memorial Medical Center, 3300, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States
ROBBINSDALE, MN 554222926
Phone: (763) 559-2171
Fax: (763) 694-9000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $2,882.
Total Amount is formed as General ($2,882) + Research ($0) + Ownership ($0) = $2,882.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($1,798).
Total Amount
$2,882
General + Research + Ownership
Payments
24
Total payment records
General Amount
$2,882
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $1,798 |
| Penumbra, Inc. | $364 |
| ShockWave Medical, Inc | $331 |
| Boston Scientific Corporation | $189 |
| Medtronic, Inc. | $116 |
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: 2004-10-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041025000850 | I | Vascular Surgery | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 62 | 62 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 30 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 28 | 20 | $0 |
| 75710 | Review by radiologist of arm or leg artery image | 23 | 21 | $0 |
| 75625 | Review by radiologist of abdominal aorta image | 22 | 20 | $0 |
Insurance plans in this area (ZIP 55441)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Diagnostic Radiology | MN | |
| Nurse Practitioner | MN | |
| Diagnostic Radiology | MN | |
| Interventional Radiology, Diagnostic Radiology | MN | |
| Interventional Radiology | MN | |
| Diagnostic Radiology, Interventional Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Interventional Radiology, Diagnostic Radiology | KY |
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