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Deactivated NPI 1710943261 Deactivated / Inactive NPI Male Practitioner

Dr. Fred L Mcmillan , MD

Ophthalmology • Jackson, MS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fred Mcmillan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 25, 2006
NPI Deactivation Date January 24, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Fred Mcmillan, MD was a registered Ophthalmology practicing in Jackson, MS. Throughout an active medical career spanning 18 years, Dr. Mcmillan provided care at the practice location at 1421 N STATE ST until profile deactivation on 2024-01-24.

Historical Medicare Part B clinical services included imaging of retina, established patient complete exam of visual system, established patient problem focused exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1421 N State St
Ste 503

Jackson, MS 392021644

Telephone 6019486886
Fax 6019487044
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.8 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
56 Specialists

Practicing in Jackson, MS (182 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92134 Imaging of retina
159 111 $87.00 $37.47
92014 Established patient complete exam of visual system
132 107 $270.00 $117.99
92012 Established patient problem focused exam of visual system
73 57 $191.00 $82.58
67028 Injection of drug into eye
51 15 $259.41 $109.57
92004 New patient complete exam of visual system
33 33 $322.00 $140.11

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MS 05468

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

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

21 Associated Practitioners
Ance Hawkins , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073578084

Certified Registered Nurse Anesthetist

NPI 1144532391
NPI 1235164021

Doctor of Medicine (M.D.)

Eric Payne , CRNA

Nurse Anesthetist, Certified Registered

NPI 1255443453

Certified Registered Nurse Anesthetist

NPI 1407888316

Doctor of Medicine (M.D.)

NPI 1487686374

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated January 24, 2024

Record deactivated on January 24, 2024

NPI Profile Active March 02, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 02, 2017

Registered at 4343 PAN AMERICAN FWY NE. STE. 224, ALBUQUERQUE, NM 87107 (Tel: 5053445400)

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Updated Business Mailing Address March 02, 2017

Registered at 4343 PAN AMERICAN FWY NE. STE. 224, ALBUQUERQUE, NM 87107 (Tel: 5053445400)

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Provider Name / Credentials Updated March 02, 2017

Recorded as FRED MCMILLAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2017

Ophthalmology (License #05468 in MS)

NPI Profile Active July 18, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 18, 2013

Registered at 1421 N STATE ST, STE 503, JACKSON, MS 392021644 (Tel: 6019486886)

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Updated Business Mailing Address July 18, 2013

Registered at 1421 N STATE ST, STE 503, JACKSON, MS 392021658 (Tel: 6019486886)

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Provider Name / Credentials Updated July 18, 2013

Recorded as FRED MCMILLAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2013

Ophthalmology (License #05468 in MS)

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Initial NPI Registration & Enumeration April 25, 2006

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: 1710943261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2006
Last Update: July 18, 2013
Deactivation Date: January 24, 2024

Mailing Address

1421 N State St, Ste 503

Jackson, MS 392021658

Phone: 6019486886

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.