CARSON MILLER – Surgical Physician Assistant, NPI 1639830748
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,036 PHYSICIAN ASSISTANT in OH
Provider Addresses for CARSON MILLER
275 EASTLAND RD
BEREA, OH 440172005
Phone:
Type: Mailing
100 KINGS HWY S
ROCHESTER, NY 146175504
Phone:
Type: Mailing
1425 PORTLAND AVE
ROCHESTER, NY 146213011
Phone: (585) 922-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $344.
Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($262).
Total Amount
$344
General + Research + Ownership
Payments
6
Total payment records
General Amount
$344
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $262 |
| Baxter Healthcare | $47 |
| Ethicon US, LLC | $22 |
| MIMEDX Group, Inc. | $14 |
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: 2023-08-22
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 |
|---|---|---|---|---|
| I20230822002639 | I | Physician Assistant | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NY | |
| - | NY | |
| - | FL | |
| General Surgery, Vascular Surgery | NY | |
| - | NY | |
| Radiation Oncology | NY | |
| - | NY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NY | |
| Physician Assistant | PA |
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