Individual provider Active NPI

Elaine Kay Miller, D.O.

  • Dermatology Physician
  • Weatherford, TX
National Provider Identifier
1265768568
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L7812 Issued in TX
Practice address
1841 Martin Drive
Suite 200
Weatherford, TX 76086
Phone
(817) 609-4114
Fax
(817) 609-4116
NPI assigned
Oct 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 L7812 TX Primary

Addresses

Primary practice location

1841 Martin Drive
Suite 200
Weatherford, TX 76086

Mailing address

1841 Martin Drive
Suite 200
Weatherford, TX 76086
Phone (817) 609-4114

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
I20091215000422 TX Practitioner - Dermatology 9032259494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Texas HSC, College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Spot PLLCGroup PAC ID 8224333844, 2 clinicians

Practice addresses (Care Compare)

1841 Martin Dr
Suite 200
Weatherford, TX 76086-6379
Phone (817) 609-4114

Merit-based Incentive Payment System (MIPS)

Final score
87.77 of 100Reported as individual
Quality
77.76
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of tissue1-10
Removal of skin lesions1087
Skin biopsy479

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7812TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince May 15, 2022 Accepting new patients
The Dermatology Spot PLLC Dermatology CurrentSince Oct 1, 2015 Accepting new patients

Locations

1622 8th Ave
Ste 100
Fort Worth, TX 76104
Phone (817) 927-2332

1841 Martin Dr
Ste 200
Weatherford, TX 76086
Phone (817) 209-4114

Organizations & group practices 2

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": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1265768568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 MARTIN DRIVE",
            "address_2": "SUITE 200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-609-4114",
            "fax_number": "817-609-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 MARTIN DRIVE",
            "address_2": "SUITE 200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-609-4114",
            "fax_number": "817-609-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELAINE",
        "middle_name": "KAY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L7812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.