MATTHEW SHAYNE MILLER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063465706

MATTHEW SHAYNE MILLER (CRNA) is a healthcare provider. based in Newark, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1268 (SC). The NPI Number for MATTHEW SHAYNE MILLER (CRNA) is 1063465706

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW SHAYNE MILLER (CRNA)
NPI
1063465706
Phone
(220) 564-4217
Address
1320 W Main St
Enumeration Date
17 May 2006
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
9373205050
Graduation Year
2000 (26 years ago)
PAC ID
8224032529
Group Practice PAC ID
3779848684
Professional Enrollment ID
I20120726000317
Address ID
OH454403237BE75XXXDRXX300

Contacts

Secure Messaging
mmiller14474@lickingmemorial.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for MATTHEW SHAYNE MILLER (CRNA)

  • 1320 W Main St

    Newark, OH 430551822

    Phone: (220) 564-4217

    Type: Location

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-8487

    Type: Mailing

  • Wexner Medical Center at The Ohio State University, 410, West Tenth Avenue, University District District 4, Columbus, Franklin, Ohio, 43210, United States

    COLUMBUS, OH 432101240

    Phone: (614) 293-8487

    Type: Location

  • 570, Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States

    COLUMBUS, OH 432021579

    Phone: (614) 293-8487

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

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: 2012-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1042 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20120726000317ICertified Registered Nurse Anesthetist (Crna)OH2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
00142Anesthesia for lens surgery1818$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1717$0
00811Anesthesia for other procedure on large bowel using an endoscope1717$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 43055)

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Provider's Procedures

MATTHEW SHAYNE MILLER (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETOH00142Anesthesia for lens surgery4038

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: 3779848684View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

How do I look up MATTHEW SHAYNE MILLER (CRNA) by NPI?
Use NPI 1063465706 when you need to reference MATTHEW SHAYNE MILLER (CRNA) in forms, claims, or directories.
Is MATTHEW SHAYNE MILLER (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MATTHEW SHAYNE MILLER (CRNA)'s specialty in plain language?
Clinically, the directory lists MATTHEW SHAYNE MILLER (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MATTHEW SHAYNE MILLER (CRNA)?
The page summarizes Newark, Ohio for MATTHEW SHAYNE MILLER (CRNA); expand the address list for detail.
How can I contact MATTHEW SHAYNE MILLER (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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