Individual provider Active NPI

Andrew J Miller, DDS,MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Marshfield, WI
National Provider Identifier
1699822403
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
70622-20 Issued in WI
Practice address
1000 N Oak Ave
Marshfield, WI 54449
Phone
(715) 387-5511
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 70622-20 WI Primary

Addresses

Primary practice location

1000 N Oak Ave
Marshfield, WI 54449

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other identifiers 1

IdentifierTypeStateIssuer
1699822403MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190423001176 WI Practitioner - Maxillofacial Surgery 4587807631 Reassigns benefits to 9 organizations
I20230919002375 TN Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 4587807631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Vanderbilt University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trauma Medicine Services of TN, LLCGroup PAC ID 7911363627, 14 clinicians
Skyline Medical Group LLCGroup PAC ID 6709885189, 43 clinicians

Practice addresses (Care Compare)

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 769-2000

3443 Dickerson Pike
Suite 340
Nashville, TN 37207-2523
Phone (615) 769-2790

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.74 of 100Reported as group
Quality
69.38
Promoting interoperability
100
Improvement activities
40
Cost
69.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc Oral & Maxillofacial Surgery CurrentSince Jan 23, 2023 Accepting new patients
MCHS Hospitals Inc Oral & Maxillofacial Surgery Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 23, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 23, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 23, 2023 Accepting new patients
Skyline Medical Group LLC Oral & Maxillofacial Surgery CurrentSince Oct 1, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 23, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Trauma Medicine Services of TN, LLC CurrentSince Jan 1, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 23, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 23, 2023 Accepting new patients
Flambeau Hospital Inc Oral & Maxillofacial Surgery CurrentSince Jan 23, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 23, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 23, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 23, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3443 Dickerson Pike
Ste 340
Nashville, TN 37207
Phone (615) 320-0007

3443 Dickerson Pike
Ste G30
Nashville, TN 37207
Phone (615) 234-6390

3443 Dickerson Pike
Ste 370
Nashville, TN 37207
Phone (615) 769-2799

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: andrew.miller@hca1.eclinicaldirectplus.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1699822403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511",
            "fax_number": "608-250-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "54449",
            "telephone_number": "715-387-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "DDS,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WI",
            "license": "70622-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699822403",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.