Active NPI 1265876106 Individual Practitioner Male Practitioner

Dr. Mark Daniel Miller , MD

Surgery • Lexington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Miller, MD is a certified Surgery practicing in Lexington, KY. With approximately 13 years of clinical experience since graduating from West Virginia University School Of Medicine in 2013, Dr. Miller delivers high-quality medical care to the local community at 1221 S BROADWAY.

Dr. Miller is affiliated with New Lexington Clinic Psc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1221 S Broadway

Lexington, KY 405042701

Telephone 8592584271

Fax 8592584418

Associated Practice Facility / Clinic

🏢 New Lexington Clinic, Psc Facility NPI 1700803681

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lexington, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -7.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

73 Specialists

Practicing in Lexington, KY (495 Statewide)

Telehealth Adoption Rate

4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miller (13 Years) 13 Yrs

Lexington Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	34	$165.76	$76.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$344.22	$155.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	24	$216.71	$120.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$295.81	$123.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$298.61	$107.18
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$147.00	$87.38
47562 Removal of gallbladder using an endoscope	13	13	$2954.92	$597.95
49650 Repair of groin hernia using an endoscope	11	11	$1339.00	$422.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	30	$167.79	$75.80
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$148.00	$64.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$333.00	$148.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$299.29	$126.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$214.00	$95.15
45380 Biopsy of large bowel using an endoscope	28	27	$746.00	$162.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$182.00	$81.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$293.00	$130.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	13	$96.91	$39.92
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$597.00	$174.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$256.47	$97.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$84.00	$34.82
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$492.00	$84.85
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$143.00	$81.32
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$979.00	$327.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	52	$148.00	$65.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	40	$89.00	$37.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$293.00	$133.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$182.00	$82.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	44	$310.00	$130.08
45380 Biopsy of large bowel using an endoscope	44	43	$663.09	$173.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$214.00	$96.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	26	$165.00	$67.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$454.50	$76.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$84.00	$35.79
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$114.00	$48.34
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$598.00	$170.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$823.00	$237.42
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	11	$597.00	$174.00
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$979.00	$332.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	72	$142.18	$66.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$180.86	$82.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	31	$89.00	$37.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	44	$310.00	$131.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	30	$76.31	$35.54
45380 Biopsy of large bowel using an endoscope	42	42	$709.14	$167.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$293.00	$134.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	24	$165.00	$69.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	25	$592.15	$99.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$207.65	$98.27
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1119.27	$324.79
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$63.00	$18.73
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$230.00	$99.83
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$658.62	$169.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$459.00	$196.50
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$908.17	$252.77
47562 Removal of gallbladder using an endoscope	11	11	$1904.00	$674.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	63	$116.00	$51.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	38	$165.00	$71.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	40	$89.00	$39.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$174.00	$76.30
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$114.00	$50.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$459.00	$197.83
45380 Biopsy of large bowel using an endoscope	37	35	$650.00	$148.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$58.00	$26.00
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	22	$979.00	$346.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$310.00	$138.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$447.00	$92.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$823.00	$260.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$178.00	$78.37
47562 Removal of gallbladder using an endoscope	12	12	$1904.00	$674.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	103	103	$114.00	$49.50
99213 Established patient office or other outpatient visit, typically 15 minutes	99	71	$116.00	$49.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	86	51	$89.00	$38.52
45380 Biopsy of large bowel using an endoscope	76	75	$650.00	$164.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	42	$165.00	$70.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$293.00	$126.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$459.00	$197.26
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$230.00	$96.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$174.00	$74.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$310.00	$133.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	17	$823.00	$259.09
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$447.00	$83.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$178.00	$76.63
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	13	$979.00	$340.01
47562 Removal of gallbladder using an endoscope	12	12	$1904.00	$670.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	12	$70.00	$38.48

Medical Specialties & State Licenses

CMS Verified: 2023-09-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 58412

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WV 28222

Surgery

NUCC Taxonomy Code: 208600000X

State License KY TP657

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100440870 (KY)

Hospital & Practice Group Affiliations

New Lexington Clinic Psc

1221 S Broadway, Lexington, KY 405042701

Phone: 8592584000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Krista Johnson , APRN

Nurse Practitioner

NPI 1073061768

Advanced Practice Registered Nurse

Deborah Cartia , APRN

Nurse Practitioner

NPI 1083730543

Advanced Practice Registered Nurse

Dr. Steve Kochu , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1184640948

Doctor of Medicine (M.D.)

Dr. Vinay Maudar , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1235270224

Doctor of Medicine (M.D.)

Dr. Matthew Bailey , MD

Surgery

NPI 1386878080

Doctor of Medicine (M.D.)

Walaa Ayoub

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1396911624

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location July 14, 2023

Registered at 1221 S BROADWAY, LEXINGTON, KY 405042701 (Tel: 8592584271)

📍

Updated Business Mailing Address July 14, 2023

Registered at 1221 S BROADWAY, LEXINGTON, KY 405042701 (Tel: 8592586200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Surgery (License #28222 in WV)

📍

Updated Practice Location June 14, 2018

Registered at 800 ROSE ST, ROOM C-224, LEXINGTON, KY 40536 (Tel: 8593236346)

📍

Updated Business Mailing Address June 14, 2018

Registered at 527 MEDICAL PARK DR STE 400, BRIDGEPORT, WV 263309010 (Tel: 6813423655)

✅

NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2016

Registered at 800 ROSE ST, ROOM C-224, LEXINGTON, KY 405360293 (Tel: 8593236346)

📍

Updated Business Mailing Address September 13, 2016

Registered at 800 ROSE ST, ROOM C-224, LEXINGTON, KY 405360293

👤

Provider Name / Credentials Updated September 13, 2016

Recorded as MARK MILLER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Surgery (License #R3386 in KY)

🟢

Initial NPI Registration & Enumeration April 22, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265876106

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 22, 2013

Last Update: September 25, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1221 S Broadway

Lexington, KY 405042701

Phone: 8592586200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.