Individual provider Active NPI

Jeffrey A Miller, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Moore, OK
National Provider Identifier
1508905704
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25175 Issued in OK
Practice address
1109 SW 30TH CT Ste a
Moore, OK 73160-2887
Phone
(405) 703-0937
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25175 OK Primary
Anesthesiology Physician 207L00000X 25175 OK

Addresses

Primary practice location

1109 SW 30TH CT Ste a
Moore, OK 73160-2887

Mailing address

1109 SW 30TH CT Ste a
Moore, OK 73160-2887
Phone (405) 703-0937

Other practice location 1

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7000

Other practice location 2

15132 Traditions Blvd
Edmond, OK 73013-1182
Phone (405) 703-0937 ext. 2

Other identifiers 1

IdentifierTypeStateIssuer
200221030AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20101221001203 OK Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 2567650229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeffrey Miller MD PLLCGroup PAC ID 0244525863, 7 clinicians
Stillwater Medical Center AuthorityGroup PAC ID 2365353794, 155 clinicians

Practice addresses (Care Compare)

1109 SW 30TH CT
Suite a
Moore, OK 73160-2887
Phone 40570309372

511 Windsor Dr
Stillwater, OK 74074-6962
Phone (405) 737-0900

Hospital & facility affiliations

  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
  • Oklahoma Center for Orthopaedic & Multi-SP Hospital, Oklahoma City, OK, CCN 370212

Merit-based Incentive Payment System (MIPS)

Final score
19.76 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.86

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25175OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Miller, MD PLLC Anesthesiology CurrentSince Jul 1, 2016 Accepting new patients
Stillwater Medical Center Authority Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Stillwater Medical Center Authority CurrentSince Aug 1, 2023 Accepting new patients
Advanced Perioperative Services PC Anesthesiology Past Accepting new patients
Anesthesia Medical Professionals, PLLC Anesthesiology PastSince Dec 17, 2023 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Oklahoma Spine Surgery Center PastSince May 22, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

15132 Traditions Blvd
Edmond, OK 73013
Phone 4057030937 ext. 3

1109 SW 30th Ct
#A
Moore, OK 73160
Phone (405) 703-0937

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

1000 N Lincoln Blvd
Ste 150
Oklahoma City, OK 73104
Phone (405) 232-8696

13313 N Meridian Ave
Ste B
Oklahoma City, OK 73120
Phone (405) 755-4140

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

511 Windsor Dr
Stillwater, OK 74074

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGDIBD
  • Direct secure messaging: jeffrey.miller.p1@direct.smc.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGDIBD/Endpoint/FGDIBD

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1508905704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 SW 30TH CT STE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602887",
            "telephone_number": "405-703-0937",
            "fax_number": "888-290-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SW 30TH CT STE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602887",
            "telephone_number": "405-703-0937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731093413",
            "country_code": "US",
            "telephone_number": "405-636-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15132 Traditions Blvd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730131182",
            "country_code": "US",
            "telephone_number": "405-703-0937 x2",
            "fax_number": "888-290-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "25175",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "25175",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200221030A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.