JACKIE S MILLER (DO) – Family Medicine Physician, NPI 1053353045

JACKIE S MILLER (DO) is a healthcare provider. based in Albany, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 104860 (MO). The NPI Number for JACKIE S MILLER (DO) is 1053353045

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
JACKIE S MILLER (DO)
NPI
1053353045
Phone
(660) 726-3311
Address
1607 E US HIGHWAY 136
Enumeration Date
12 June 2006
Last Update Date
7 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6607832707
Graduation Year
1992 (34 years ago)
PAC ID
6305924465
Professional Enrollment ID
I20080929000749
Address ID
MO644891246ST302XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

Provider Addresses for JACKIE S MILLER (DO)

  • 1607 E US HIGHWAY 136

    ALBANY, MO 644028223

    Phone: (660) 726-3311

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $819.

Total Amount is formed as General ($819) + Research ($0) + Ownership ($0) = $819.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($444).

Total Amount

$819

General + Research + Ownership

Payments

48

Total payment records

General Amount

$819

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

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: 2008-09-29

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
I20080929000749IFamily PracticeMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7049$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3317$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2118$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2019$0
99213Established patient office or other outpatient visit, 20-29 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 64402)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How do I look up JACKIE S MILLER (DO) by NPI?
Use NPI 1053353045 when you need to reference JACKIE S MILLER (DO) in forms, claims, or directories.
Is JACKIE S MILLER (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JACKIE S MILLER (DO)'s specialty in plain language?
Clinically, the directory lists JACKIE S MILLER (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for JACKIE S MILLER (DO)?
We surface Albany, Missouri for JACKIE S MILLER (DO) based on available NPPES addresses.
What if Albany, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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