Active NPI
Jeffrey T Macmillan, M.D.
- Orthopaedic Surgery Physician
- Kimball, NE
National Provider Identifier
1295758365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 29753
- Practice address
- 255 W 4TH St
Kimball, NE 69145-1706 - Phone
- (308) 235-1951
- NPI assigned
- Jul 26, 2006
- Last updated
- Aug 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 04-25519 | KS | |
| Orthopaedic Surgery Physician | 207X00000X | 29753 | NE | Primary |
Addresses
Primary practice location
255 W 4TH St
Kimball, NE 69145-1706
Mailing address
PO Box 920
Torrington, WY 82240-0920
Phone (913) 894-2121
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431793993 | Other | KS | TRIWEST |
| 0982140 | Other | KS | UNITED HEALTHCARE |
| 141094900 | Other | KS | US DEPARTMENT OF LABOR |
| 100171940A | Medicaid | KS | |
| 15076140 | Other | KS | HUMANA |
| 200030413 | Other | KS | RR MEDICARE |
| 21793010 | Other | KS | BCBS KC |
| 208162701 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 68.47 of 100
- Quality
- 53.04
- Promoting interoperability
- 81
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29753 | NE | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Health Clinic Specialty, LLC | Current | Accepting new patients | |
| Regional West Physicians Clinic | Past | Accepting new patients |
Locations
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
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.
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
-
- Orthopaedic Surgery Physician
- Overland Park, KS
- NPI 1295824738
-
- Rural Health Clinic/Center
- Mitchell, NE
- NPI 1992703425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1295758365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 920",
"city": "TORRINGTON",
"state": "WY",
"postal_code": "822400920",
"telephone_number": "913-894-2121",
"fax_number": "913-894-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W 4TH ST",
"city": "KIMBALL",
"state": "NE",
"postal_code": "691451706",
"telephone_number": "308-235-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACMILLAN",
"first_name": "JEFFREY",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "04-25519",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NE",
"license": "29753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "431793993",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0982140",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPARTMENT OF LABOR",
"identifier": "141094900",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100171940A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "15076140",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "200030413",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "21793010",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208162701",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kimball, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.