Individual provider Active NPI

Matthew McMillin, MD

  • Family Medicine Physician
  • Peoria, IL
National Provider Identifier
1528021987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000816 IL Practitioner - Family Practice 8426002718 Reassigns benefits to 5 organizations

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
Graham Hospital AssociationGroup PAC ID 2769375021, 124 clinicians

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 Home health agency, Farmington, IL, CCN 147530
  • Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209
  • Graham Hospital Association Hospital, Canton, IL, CCN 140001
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Graham Hospital Association Hospital, Canton, IL, CCN 141356
  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
62.57
Promoting interoperability
100
Improvement activities
40
Cost
77.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Hospital Association CurrentSince Jan 1, 2000 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jun 15, 2010 Accepting new patients
MJM Family Medicine SC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Graham Hospital Association CurrentSince Jan 1, 2000 Accepting new patients
Methodist Medical Center of Illinois Family Medicine CurrentSince Jun 15, 2010 Accepting new patients
Epss Peoria LLC CurrentSince Jan 1, 2016 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2022 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

  • Direct secure messaging: mmcmillinmd388501@carlehiedirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.