SCOTT MILLER (MD) – Family Medicine Physician, NPI 1104845536

SCOTT MILLER (MD) is a healthcare provider. based in Madison, Wisconsin. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 129295 (CA). The NPI Number for SCOTT MILLER (MD) is 1104845536

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT MILLER (MD)
NPI
1104845536
Phone
(608) 251-4156
Address
1265 JOHN Q HAMMONS DR
Enumeration Date
18 July 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
TOLEDO MEDICAL COLLEGE
Secondary Phone
8586753100
Graduation Year
1979 (47 years ago)
PAC ID
0941497358
Group Practice PAC ID
9931239027
Professional Enrollment ID
I20141022000665
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SCOTT MILLER (MD)

  • 1265, John Q Hammons Drive, Old Sauk Trails Park, Madison, Dane County, Wisconsin, 53717, United States

    MADISON, WI 537171941

    Phone: (608) 251-4156

    Fax: (608) 257-3842

    Type: Mailing

  • 9878, Carmel Mountain Road, Rancho Peñasquitos, San Diego, San Diego County, California, 92129, United States

    SUITE B

    SAN DIEGO, CA 92129

    Phone: (858) 312-1440

    Fax: (858) 434-7484

    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 $460.

Total Amount is formed as General ($460) + Research ($0) + Ownership ($0) = $460.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($226).

Total Amount

$460

General + Research + Ownership

Payments

18

Total payment records

General Amount

$460

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2014-10-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141022000665IFamily PracticeCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9962$0
99214Established patient office or other outpatient visit, 30-39 minutes8343$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2828$0
90662Influenza vaccine split virus, preservative free1615$0
G0008Administration of influenza virus vaccine1615$0
View full utilization report →

Insurance plans in this area (ZIP 53717)

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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: 9931239027View full group profile
NameSpecialtyState
H O S P I T A L I S TCA
-CA
Nurse PractitionerCA
Vascular SurgeryNY
Nurse PractitionerCA
Cardiovascular Disease (Cardiology), Internal MedicineCA
Physician AssistantCA
Qualified AudiologistCA
Orthopedic SurgeryCA
Internal MedicineCA

Reviews

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Frequently asked questions

What is the standard ID for SCOTT MILLER (MD) in the U.S.?
In the U.S., SCOTT MILLER (MD) is identified by NPI 1104845536.
Should I treat SCOTT MILLER (MD) as an active provider?
Patients and plans typically see SCOTT MILLER (MD) as active in the national extract.
What services align with SCOTT MILLER (MD)'s listing?
SCOTT MILLER (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SCOTT MILLER (MD)?
The directory associates SCOTT MILLER (MD) with Madison, Wisconsin. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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