Individual provider Active NPI

Geoffrey M Millican, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Antonio, TX
National Provider Identifier
1255441762
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
M3024 Issued in TX
Practice address
7940 Floyd Curl Dr
Suite 560
San Antonio, TX 78229-3905
Phone
(210) 692-7400
Fax
(210) 692-0090
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X M3024 TX Primary

Addresses

Primary practice location

7940 Floyd Curl Dr
Suite 560
San Antonio, TX 78229-3905

Mailing address

7940 Floyd Curl Dr
Suite 560
San Antonio, TX 78229-3905
Phone (210) 692-7400

Other identifiers 2

IdentifierTypeStateIssuer
M3024OtherTXTEXAS LICENSE NUMBER
20-4584500OtherTXINDIVIDUAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070206000412 TX Practitioner - Orthopedic Surgery 7012949860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ty H Goletz M.D. PAGroup PAC ID 6608959895, 4 clinicians

Practice addresses (Care Compare)

18626 Hardy Oak Blvd
Suite 300
San Antonio, TX 78258-4228
Phone (210) 692-7400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.49 of 100Reported as individual
Quality
11.32
Improvement activities
0
Cost
69.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement34
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M3024TXMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ty H Goletz M.D. PA Sports Medicine CurrentSince Jul 25, 2010 Accepting new patients
Andrews Sports Medicine and Orthopaedic Center Past Accepting new patients
Alabama Sports Medicine and Ortho Center Past Accepting new patients

Locations

6800 W Interstate 10
Ste 250
San Antonio, TX 78201
Phone (210) 692-7400

7940 Floyd Curl Dr
Ste 560
San Antonio, TX 78229
Phone (210) 614-8100

18626 Hardy Oak Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 293-2922

Interoperability endpoints

  • Direct secure messaging: geoffrey.millican@1266.chartlogic.direct-ci.com
  • Direct secure messaging: cossm.geoffreymillican@139128.advancedmd-direct.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1255441762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 FLOYD CURL DR",
            "address_2": "SUITE 560",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293905",
            "telephone_number": "210-692-7400",
            "fax_number": "210-692-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 FLOYD CURL DR",
            "address_2": "SUITE 560",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293905",
            "telephone_number": "210-692-7400",
            "fax_number": "210-692-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLICAN",
        "first_name": "GEOFFREY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "M3024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE NUMBER",
            "identifier": "M3024",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL TAX ID",
            "identifier": "20-4584500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.