Theodore H Miller, M.D., PHD.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25084 Issued in KY

Practice address

40 North Grand Ave.
Suite 101
Ft. Thomas, KY 41075

Phone

(859) 781-4900

Fax

(859) 781-3039

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY, IN2 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

Specialty

Otolaryngology

Education

University of Louisville School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Head and Neck Surgery Associates, PSCGroup PAC ID 4183662158, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
• St Elizabeth Ft Thomas Hospital, Fort Thomas, KY, CCN 180001
• St Elizabeth Florence Hospital, Florence, KY, CCN 180045

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

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.

• Head and Neck Surgery Associates, PSC

  • Otolaryngology Physician
  • Fort Thomas, KY
  • NPI 1760569545

  IN

  Medicare reassignment Care Compare group
• Head and Neck Surgery Associates, PSC

  • Ambulatory Surgical Clinic/Center
  • Florence, KY
  • NPI 1396823381
  NPD (past)

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

• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Florence, KY
  • NPI 1154365062
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Edgewood, KY
  • NPI 1467492421
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Fort Thomas, KY
  • NPI 1740221795
  Care Compare affiliation

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1720078264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N GRAND AVE STE 103",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751765",
            "telephone_number": "859-781-4900",
            "fax_number": "859-572-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NORTH GRAND AVE.",
            "address_2": "SUITE 101",
            "city": "FT. THOMAS",
            "state": "KY",
            "postal_code": "41075",
            "telephone_number": "859-781-4900",
            "fax_number": "859-781-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THEODORE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "KY",
            "license": "25084",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "25084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64250848",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000033216",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Farangis Midkiff, PH.D.
• Megan Marie Mihalovich
• Linda M Mika, LMFT
• Brian J Miller, M.D.
• Jamey Lee Miller
• Valerie P Miller, M.S. OTR/L
• Danielle Raejean Minch, LCSW
• Bahar Mittal, M.D.
• Mobile Medical Resources, Inc.
• Amanda Monroe, PMHNP

• Otolaryngology Physician in Ft. Thomas, KY
• Providers in Ft. Thomas, KY by specialty
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.

Verify at the official NPI Registry.