Individual provider Active NPI

Richard A Miller, D.O.

  • Dermatology Physician
  • Port Richey, FL
National Provider Identifier
1023007242
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS4920 Issued in FL
Practice address
8220 US Highway 19
Port Richey, FL 34668-6639
Phone
(727) 841-8505
Fax
(727) 846-0561
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS4920 FL Primary

Addresses

Primary practice location

8220 US Highway 19
Port Richey, FL 34668-6639

Mailing address

8220 US Highway 19
Port Richey, FL 34668-6639
Phone (727) 841-8505

Other identifiers 1

IdentifierTypeStateIssuer
063207400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000176 FL Practitioner - Dermatology 0547154247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Michigan State University College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Dermatology and Cosmetic Surgery P aGroup PAC ID 7517851215, 25 clinicians

Practice addresses (Care Compare)

8220 US 19
Port Richey, FL 34668-6639
Phone (727) 841-8505

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as group
Quality
78.21
Promoting interoperability
100
Improvement activities
40
Cost
77.18

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision156
Removal of tissue1-10
Removal of skin lesions1641
Removal of skin cancer406
Removal or shaving of skin growth40
Skin biopsy492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Dermatology and Cosmetic Surgery P a Dermatology CurrentSince Jan 1, 1995 Accepting new patients
Largo Physician Group, LLC CurrentSince Dec 14, 2016 Accepting new patients
Kratz Allergy Asthma & Immunology Associates PA Past Accepting new patients
Sun Coast Hospital Inc PastSince Dec 14, 2016 Accepting new patients

Locations

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

115 Highland Ave N
Largo, FL 33770
Phone (727) 585-8591

1345 West Bay Dr
Ste 304
Largo, FL 33770
Phone (727) 490-5040

13540 Walsingham Rd
Ste D
Largo, FL 33774
Phone (727) 593-5492

1559 Indian Rocks Rd S
Largo, FL 33770
Phone (727) 587-9044

1009 Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 264-5447

34941 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 585-8591

8202 Washington St
Ste 4
Port Richey, FL 34668
Phone (561) 254-0787

8220 US Highway 19
Port Richey, FL 34668
Phone (727) 841-8505

2525 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 585-8591

2525 Pasadena Ave S
Ste S
South Pasadena, FL 33707
Phone (727) 360-0853

1130 Commercial Way
Spring Hill, FL 34606
Phone (352) 688-5544

7500 Gulf Blvd
Ste 8
St Pete Beach, FL 33706

125 4th Ave NE
St Petersburg, FL 33701
Phone (727) 585-8591

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • FL PPO
  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1023007242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686639",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686639",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS4920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063207400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.