MICHAEL J MILLER (MD) – Sports Medicine (Family Medicine) Physician, NPI 1790777241

MICHAEL J MILLER (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in Sports Medicine (Family Medicine) Physician. They hold the professional credentials MD. They hold a License No. 24910 (KY). The NPI Number for MICHAEL J MILLER (MD) is 1790777241

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J MILLER (MD)
NPI
1790777241
Phone
(859) 301-5600
Address
PO BOX 636324
Enumeration Date
19 August 2005
Last Update Date
7 June 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8593442000
Graduation Year
1984 (42 years ago)
PAC ID
8022919679
Group Practice PAC ID
0648174623
Professional Enrollment ID
I20040116000201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for MICHAEL J MILLER (MD)

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452636324

    Phone: (859) 301-5600

    Fax: (859) 344-5552

    Type: Mailing

  • 10095 INVESTMENT WAY

    FLORENCE, KY 410424798

    Phone: (859) 301-9070

    Fax: (859) 301-9075

    Type: Location

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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

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: 2004-01-16

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
I20040116000201ISports MedicineKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45263)

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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: 0648174623View full group profile
NameSpecialtyState
Family PracticeKY
-KY
Family PracticeKY
H E M A T O L O G Y/ O N C O L O G YOH
Family PracticeKY
Nurse PractitionerOH
Physician AssistantIL
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology)OH
-KY
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I cross-check MICHAEL J MILLER (MD) using NPI 1790777241?
NPI 1790777241 belongs to MICHAEL J MILLER (MD); compare other details if you need extra assurance.
Is there an active status for MICHAEL J MILLER (MD)?
For scheduling context, MICHAEL J MILLER (MD) is shown as active in the registry.
What area of care is associated with MICHAEL J MILLER (MD)?
MICHAEL J MILLER (MD)'s record emphasizes Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL J MILLER (MD) associated with Cincinnati?
Public fields place MICHAEL J MILLER (MD) around Cincinnati, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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