DR. HARRY SHAWN MILLER (M.D.) – Family Medicine Physician, NPI 1073627501

DR. HARRY SHAWN MILLER (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. K3616 (TX). The NPI Number for DR. HARRY SHAWN MILLER (M.D.) is 1073627501

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. HARRY SHAWN MILLER (M.D.)
NPI
1073627501
Phone
(682) 707-9707
Address
5500 Sycamore School Rd Ste 150
Enumeration Date
19 August 2006
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
3256901500
Graduation Year
1996 (30 years ago)
PAC ID
7113810565
Group Practice PAC ID
0840501508
Professional Enrollment ID
I20040207000376
Address ID
TX796068253AB3802XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. HARRY SHAWN MILLER (M.D.)

  • 5500 Sycamore School Rd Ste 150

    Fort Worth, TX 761233053

    Phone: (682) 707-9707

    Fax: (682) 707-9708

    Type: Location

  • 421, Royal Colonnade, Arlington, Tarrant County, Texas, 76011, United States

    ARLINGTON, TX 760113260

    Phone: (817) 275-5261

    Fax: (817) 548-8639

    Type: Mailing

  • 2205, North Tarrant Parkway, Fort Worth, Tarrant County, Texas, 76177, United States

    FT WORTH, TX 761772204

    Phone: (817) 328-3320

    Fax: (817) 328-3320

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-02-07

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
I20040207000376IFamily PracticeTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg14815$0
87804Detection test by immunoassay with direct visual observation for influenza virus4724$0
99204New patient office or other outpatient visit, 45-59 minutes3232$0
99213Established patient office or other outpatient visit, 20-29 minutes2828$0
96372Injection of drug or substance under skin or into muscle2625$0
View full utilization report →

Insurance plans in this area (ZIP 76123)

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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: 0840501508View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantOK
-TX
-TX
Family PracticeVA
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Physician AssistantNC

Reviews

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Frequently asked questions

Does DR. HARRY SHAWN MILLER (M.D.) have a public NPI I can cite?
Public records show DR. HARRY SHAWN MILLER (M.D.) under NPI 1073627501.
Is DR. HARRY SHAWN MILLER (M.D.)'s NPI status active today?
Active status means DR. HARRY SHAWN MILLER (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. HARRY SHAWN MILLER (M.D.) provide?
DR. HARRY SHAWN MILLER (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. HARRY SHAWN MILLER (M.D.) tied to Fort Worth, Texas?
If you are local to Fort Worth, Texas, DR. HARRY SHAWN MILLER (M.D.) may be relevant to your search.
Why is information missing for DR. HARRY SHAWN MILLER (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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