Active NPI
Elaine Kay Miller, D.O.
- Dermatology Physician
- Weatherford, TX
National Provider Identifier
1265768568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- L7812
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 77.76
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 30 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1087 |
| Skin biopsy | 479 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7812 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology PA | Dermatology | Current | Accepting new patients |
| The Dermatology Spot PLLC | Dermatology | Current | 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.
-
- Dermatology Physician
- Weatherford, TX
- NPI 1689049413
-
- Dermatology Physician
- Waco, TX
- NPI 1043615263
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.