NPIMap

Individual provider Active NPI

Lane R Miller, M.D.

  • Specialist
  • College Station, TX
National Provider Identifier
1316986631
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L1673 Issued in TX
Practice address
1721 Birmingham Rd
College Station, TX 77845-4082
Phone
(979) 764-1474
Fax
(979) 764-9249
NPI assigned
Jun 5, 2006
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L1673 TX Primary

Addresses

Primary practice location

1721 Birmingham Rd
College Station, TX 77845-4082

Mailing address

1721 Birmingham Dr
College Station, TX 77845-4082
Phone (979) 764-1474

Other identifiers 2

IdentifierTypeStateIssuer
8AJ115OtherTXBLUE CROSS
105790303MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000241 TX Practitioner - Cardiovascular Disease (Cardiology) 8729016498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lane R Miller MD PAGroup PAC ID 5193753861, 2 clinicians
Cardiac Cath Lab of Bryan College Station LPGroup PAC ID 8628296738, 8 clinicians

Practice addresses (Care Compare)

1721 Birmingham Dr
College Station, TX 77845-4082
Phone (979) 764-1474

3201 University Dr E
Suite 420
Bryan, TX 77802-3479
Phone (979) 485-9922

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as individual
Quality
92.25
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair13
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1673TXMDSpecialist
39242TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Cath Lab of Bryan College Station, LP CurrentSince Aug 1, 2014 Accepting new patients
Lane R Miller MD PA CurrentSince Feb 16, 2005 Accepting new patients
Bryan College Station ASC, LP PastSince Mar 18, 2022 Accepting new patients

Locations

3201 University Dr E
Ste 420
Bryan, TX 77802
Phone (979) 485-9922

1721 Birmingham Rd
College Station, TX 77845
Phone (979) 695-9540

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 6

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1316986631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454082",
            "telephone_number": "979-764-1474",
            "fax_number": "979-764-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454082",
            "telephone_number": "979-764-1474",
            "fax_number": "979-764-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LANE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L1673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8AJ115",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105790303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.