JERRY J MILLER (MD) – Dermatology Physician, NPI 1497758049
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
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Provider Addresses for JERRY J MILLER (MD)
York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9146
Fax: (920) 684-1439
Type: Mailing
Wisconsin American Drive, Fond du Lac, Fond du Lac County, Wisconsin, 54935, United States
FOND DU LAC, WI 549376725
Phone: (920) 923-0788
Fax: (920) 273-0085
Type: Location
1440 N 25th St
Sheboygan, WI 530813108
Phone: (920) 457-9100
Fax: (920) 457-1461
Type: Location
111 Wisconsin American Dr
Fond Du Lac, WI 549376725
Phone: (920) 923-0788
Fax: (920) 273-0085
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
N84W16889 MENOMONEE AVE
MENOMONEE FALLS, WI 530512810
Phone: (262) 251-7500
Type: Location
5225 GRANDWOOD PL E
LA CROSSE, WI 546012665
Phone:
Type: Mailing
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: 2004-09-10
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 |
|---|---|---|---|---|
| I20040910000553 | I | Dermatology | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 269 | 162 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 126 | 126 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 78 | 53 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 71 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 44 | $0 |
Insurance plans in this area (ZIP 54220)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | WI | 11101 | Biopsy of each additional growth of skin and/or tissue | 33 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Family Practice | IL | |
| - | WI | |
| E N D O C R I N O L O G Y | IL | |
| Family Practice | PA | |
| Cardiovascular Disease (Cardiology) | WI | |
| - | WI | |
| Family Practice | IL |
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