Active NPI
Matthew McMillin, MD
- Family Medicine Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 221 NE Glen Oak Ave
Peoria, IL 61603-4307 - Phone
- (309) 672-5522
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
221 NE Glen Oak Ave
Peoria, IL 61603-4307
Mailing address
21276 Network PL
Chicago, IL 60673-1212
Phone (877) 485-4474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
210 W Walnut St
Canton, IL 61520-2444
Phone (309) 647-5240
900 Main St
Suite 500
Peoria, IL 61602-5022
Phone (309) 672-4470
Hospital & facility affiliations
- Spoon River Home Health Services
- Carle Health Methodist Hospital
- Graham Hospital Association
- Saint Francis Medical Center
- Graham Hospital Association
- Carle Health Proctor Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 62.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graham Hospital Association | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| MJM Family Medicine SC | Family Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Family Medicine | Current | Accepting new patients |
| Epss Peoria LLC | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Comprehensive Emergency Solutions SC | Past | Accepting new patients | |
| Stephen C. Thompson, M.D.,S.C. | Past | Accepting new patients |
Locations
210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240
180 S Main St
Canton, IL 61520
Phone (309) 647-5240
221 NE Glen Oak Ave
#100
Peoria, IL 61636
10322 N Juliet Ct
Peoria, IL 61615
Phone (309) 243-8538
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000
900 Main St
Peoria, IL 61602
Phone (309) 672-3100
900 Main St
Ste 500
Peoria, IL 61602
Phone (309) 637-3500
3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030
815 Main St
Ste A1
Peoria, IL 61602
1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774
Interoperability endpoints
- mmcmillinmd388501@carlehiedirect.net
- matthew.mcmillin.1@28694.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Critical Access Hospital
- Canton, IL
- NPI 1780692087
-
- Family Medicine Physician
- Peoria, IL
- NPI 1093412686
-
- Emergency Medicine Physician
- Peoria, IL
- NPI 1831421056
-
- Emergency Care Clinic/Center
- Peoria, IL
- NPI 1265966048
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Internal Medicine Physician
- Galesburg, IL
- NPI 1710845854
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Emergency Medicine Physician
- Peoria, IL
- NPI 1477515393
-
- Obstetrics & Gynecology Physician
- Peoria, IL
- NPI 1922042233
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Canton, IL
- NPI 1154117521
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
-
- Home Health Agency
- Farmington, IL
- NPI 1447235601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528021987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21276 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731212",
"telephone_number": "877-485-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616034307",
"telephone_number": "309-672-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLIN",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.