NPIMap

Individual provider Active NPI

Marcus Richard Miller, MD

  • Surgery Physician
  • Grove City, OH
National Provider Identifier
1518965474
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35076919 Issued in OH
Practice address
5300 N Meadows Dr
Grove City, OH 43123-2546
Phone
(614) 864-6363
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35076919 OH Primary

Addresses

Primary practice location

5300 N Meadows Dr
Grove City, OH 43123-2546

Mailing address

6075 E Broad St
Columbus, OH 43213-5131
Phone (614) 864-6363

Other practice location 1

6075 E Broad St
Columbus, OH 43213-5131
Phone (614) 864-6363

Other identifiers 1

IdentifierTypeStateIssuer
2212493MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040529000138 OH Practitioner - General Surgery 3779564174 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wright State University Boonshoft School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians
Mount Carmel Health SystemGroup PAC ID 6709793367, 84 clinicians
Central Ohio Surgical AssociatesGroup PAC ID 6002003258, 16 clinicians

Practice addresses (Care Compare)

1010 Refugee Rd
Pickerington, OH 43147-9653
Phone (614) 566-8883

477 Cooper Rd
Suite 300
Westerville, OH 43081-8057
Phone (614) 898-8808

5350 N Meadows Dr
Grove City, OH 43123-2546
Phone (614) 228-0768

6001 E Broad St
Columbus, OH 43213-1502
Phone (614) 234-6000

6075 E Broad St
Columbus, OH 43213-5131

6484 E Main St
Reynoldsburg, OH 43068-2493
Phone (614) 864-6363

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
99.21
Improvement activities
40
Cost
62.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35076919OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 17, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 17, 2023 Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Trauma Associates Inc Past Accepting new patients
Mount Carmel Health System Past Accepting new patients
Mount Carmel Health Past Accepting new patients
Victor Dizon, D.O., Facos, Inc Past Accepting new patients
Mount Carmel Health Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Interoperability endpoints

  • Direct secure messaging: mmiller@cosadocs.gwaydirect.com

Organizations & group practices 11

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 3

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1518965474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432135131",
            "telephone_number": "614-864-6363",
            "fax_number": "614-864-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N MEADOWS DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-864-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6075 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432135131",
            "country_code": "US",
            "telephone_number": "614-864-6363",
            "fax_number": "614-864-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARCUS",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35076919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2212493",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.