NPIMap

Individual provider Active NPI

Stephen Michael Miller, DO

  • General Practice Physician
  • Peterstown, WV
National Provider Identifier
1871519660
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1608 Issued in WV
Practice address
3115 Seneca TRL S
Peterstown, WV 24963-5040
Phone
(304) 753-9100
Fax
(304) 753-9353
NPI assigned
Jul 14, 2006
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1608 WV
General Practice Physician 208D00000X 1608 WV Primary

Addresses

Primary practice location

3115 Seneca TRL S
Peterstown, WV 24963-5040

Mailing address

1322 Maplewood Ave Ste a
Ronceverte, WV 24970-8016
Phone (304) 753-9100

Other identifiers 1

IdentifierTypeStateIssuer
5630144000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephen.miller@camc.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100802000601 WV Practitioner - Family Practice 2860486933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1322 Maplewood Ave
Suite a
Ronceverte, WV 24970-8016
Phone (304) 647-5114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1608WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Camc Greenbrier Valley Medical Center Inc Family Medicine Current Accepting new patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Oct 6, 2024 Accepting new patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Oct 6, 2024 Accepting new patients
Greenbrier VMC LLC Past Accepting new patients

Locations

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

1322 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 647-1139

1322 Maplewood Ave
Ste A
Ronceverte, WV 24970
Phone (304) 647-1161

1521 Maplewood Ave
Ronceverte, WV 24970

Interoperability endpoints

  • Direct secure messaging: stephen.miller@camc.cernerdirect.com

Organizations & group practices 5

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 9

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1871519660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 MAPLEWOOD AVE STE A",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016",
            "telephone_number": "304-753-9100",
            "fax_number": "304-753-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 SENECA TRL S",
            "city": "PETERSTOWN",
            "state": "WV",
            "postal_code": "249635040",
            "telephone_number": "304-753-9100",
            "fax_number": "304-753-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1608",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "1608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5630144000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.miller@camc.cernerdirect.com",
            "affiliation": "N",
            "address_1": "3115 Seneca Trl S",
            "city": "Peterstown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "249635040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peterstown, WV

Sources for this page

Verify at the official NPI Registry.