Individual provider Active NPI

Scott D Miller, MD

  • Dermatology Physician
  • Amarillo, TX
National Provider Identifier
1790722916
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N4591 Issued in TX
Practice address
4302 Wolflin Ave
Amarillo, TX 79106-5959
Phone
(806) 355-9866
Fax
(806) 355-4004
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X N4591 TX Primary

Addresses

Primary practice location

4302 Wolflin Ave
Amarillo, TX 79106-5959

Mailing address

4302 Wolflin Ave
Amarillo, TX 79106-5959
Phone (806) 355-9866

Other identifiers 2

IdentifierTypeStateIssuer
8H8491OtherTXBC/BS NUMBER
P00778494OtherTXRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091215000252 TX Practitioner - Dermatology 7214841840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Michigan State University College of Human Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Plains Dermatology Center, P.a.Group PAC ID 9931189198, 3 clinicians

Practice addresses (Care Compare)

4302 Wolflin Ave
Amarillo, TX 79106-5959
Phone (806) 355-9866

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision184
Removal of skin lesions2167
Removal or shaving of skin growth51
Skin biopsy501

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23169SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enos Dermatopathology PLLC CurrentSince Feb 13, 2022 Accepting new patients
High Plains Dermatology Center, P.a. CurrentSince Nov 1, 2009 Accepting new patients
Waccamaw Dermatology and Plastic Surgery Dermatology Past Accepting new patients
Carolina Dermatology GRP Dermatology PastSince Jul 9, 2001 Accepting new patients

Locations

4302 Wolflin Ave
Amarillo, TX 79106
Phone (806) 355-9866

Organizations & group practices 4

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 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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1790722916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791065959",
            "telephone_number": "806-355-9866",
            "fax_number": "806-355-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791065959",
            "telephone_number": "806-355-9866",
            "fax_number": "806-355-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SCOTT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N4591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NUMBER",
            "identifier": "8H8491",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00778494",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.