NPIMap

Individual provider Active NPI

Derek Wade Miller, D.O.

  • Orthopaedic Surgery Physician
  • Joplin, MO
National Provider Identifier
1699706887
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2006002060 Issued in MO
Practice address
3105 McClelland Blvd.
Joplin, MO 64804-1640
Phone
(417) 781-2807
Fax
(417) 781-3309
NPI assigned
Jul 5, 2006
Last updated
Mar 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2006002060 MO Primary

Addresses

Primary practice location

3105 McClelland Blvd.
Joplin, MO 64804-1640

Mailing address

3105 McClelland Blvd.
Joplin, MO 64804-1640
Phone (417) 781-2807

Other identifiers 1

IdentifierTypeStateIssuer
506033406MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20060727000006 MO Practitioner - Orthopedic Surgery 5597778167 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
R Franklin University of Med & Sci/Chicago Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, shared by 14 NPIs, 385 clinicians
Freeman Neosho HospitalGroup PAC ID 4284624552, shared by 6 NPIs, 43 clinicians

Practice addresses (Care Compare)

1102 W 32 St
Joplin, MO 64804-3503
Phone (417) 347-1111

3105 McClelland Blvd
Joplin, MO 64804-1640
Phone (417) 347-5400

336 S Jefferson St
Freeman Neosho Physician Group
Neosho, MO 64850-1769
Phone (417) 455-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement81
Knee replacement109
Lower limb (leg) arthroscopy (minimally invasive joint repair)24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006002060MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Neosho Hospital CurrentSince Jan 1, 2014 Accepting new patients
Freeman Neosho Hospital CurrentSince Jan 1, 2014 Accepting new patients
Freeman Neosho Hospital CurrentSince Jan 1, 2026 Accepting new patients
Freeman-Oak Hill Health System Orthopaedic Surgery CurrentSince Aug 1, 2008 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Feb 19, 2020 Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078

336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200

Organizations & group practices 7

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1699706887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 MCCLELLAND BLVD.",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041640",
            "telephone_number": "417-781-2807",
            "fax_number": "417-781-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 MCCLELLAND BLVD.",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041640",
            "telephone_number": "417-781-2807",
            "fax_number": "417-781-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEREK",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2006002060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506033406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.