JAKE C. MCMILLIN (MD) – Ophthalmology Physician, NPI 1205254190

JAKE C. MCMILLIN (MD) is a healthcare provider. based in Houston, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 58987 (TN). The NPI Number for JAKE C. MCMILLIN (MD) is 1205254190

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JAKE C. MCMILLIN (MD)
NPI
1205254190
Phone
(423) 571-9399
Address
3827 Southwestern St
Enumeration Date
29 March 2014
Last Update Date
1 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
8655840905322
Graduation Year
2014 (12 years ago)
PAC ID
6709185069
Group Practice PAC ID
0244216562
Professional Enrollment ID
I20190607000195
Address ID
TN379092686KN1124XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

Provider Addresses for JAKE C. MCMILLIN (MD)

  • 3827 Southwestern St

    Houston, TX 770054336

    Phone: (423) 571-9399

    Type: Location

  • 6565 Fannin St # Nc205

    Houston, TX 77030

    Phone: (423) 571-9399

    Type: Location

  • 4613 Papermill Dr

    Knoxville, TN 379091971

    Phone: (865) 584-8551

    Fax: (865) 584-0829

    Type: Location

  • 962 Dolly Parton Pkwy

    Sevierville, TN 378623707

    Phone: (865) 428-8000

    Fax: (865) 428-2091

    Type: Location

  • 12744 Kingston Pike Ste 108

    Knoxville, TN 379340941

    Phone: (865) 934-1700

    Fax: (865) 392-5533

    Type: Location

  • 4829 N Broadway St Ste 103

    Knoxville, TN 379182067

    Phone: (865) 851-8558

    Fax: (865) 500-8153

    Type: Location

  • 628 Smithview Dr

    Maryville, TN 378036100

    Phone: (865) 984-7012

    Fax: (865) 981-4401

    Type: Location

  • 104 Keller Ln

    Maryville, TN 378016201

    Phone: (865) 681-3937

    Fax: (865) 681-3422

    Type: Location

  • 1124 E Weisgarber Rd Ste 104

    Knoxville, TN 37909

    Phone: (865) 584-2127

    Fax: (865) 392-5536

    Type: Location

  • 1124 E WEISGARBER RD STE 104

    KNOXVILLE, TN 379092686

    Phone: (865) 584-2127

    Fax: (865) 392-5536

    Type: Mailing

  • 10841 HARDIN VALLEY RD

    KNOXVILLE, TN 379321410

    Phone: (865) 584-0905

    Fax: (865) 584-3892

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $468.

Total Amount is formed as General ($468) + Research ($0) + Ownership ($0) = $468.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Alcon Vision LLC ($161).

Total Amount

$468

General + Research + Ownership

Payments

18

Total payment records

General Amount

$468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2019-06-07

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
I20190607000195IOphthalmologyTNTBD

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
92136Measurement of corneal curvature and depth of eye481207$0
99214Established patient office or other outpatient visit, 30-39 minutes337229$0
66984Removal of cataract with insertion of prosthetic lens239145$0
99213Established patient office or other outpatient visit, 20-29 minutes205181$0
99204New patient office or other outpatient visit, 45-59 minutes185185$0
View full utilization report →

Insurance plans in this area (ZIP 77005)

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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: 0244216562View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTN
O P T O M E T R YTN
-TN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
O P T O M E T R YTN

Reviews

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Frequently asked questions

Can I use this page to confirm JAKE C. MCMILLIN (MD)'s NPI?
Yes. JAKE C. MCMILLIN (MD) is listed with NPI 1205254190 in the public NPI dataset.
Is JAKE C. MCMILLIN (MD) still practicing?
JAKE C. MCMILLIN (MD) is currently listed as active in the public NPI registry.
What is JAKE C. MCMILLIN (MD)'s specialty?
The listing groups JAKE C. MCMILLIN (MD) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What area does JAKE C. MCMILLIN (MD) serve?
JAKE C. MCMILLIN (MD)'s listing highlights Houston, Texas; more addresses can appear in NPPES.
Is the information about JAKE C. MCMILLIN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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