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Deactivated NPI 1922044627 Deactivated / Inactive NPI Male Practitioner

Dr. Gordon A Miller , MD

Ophthalmology • Salem, OR

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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. Gordon Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2006
NPI Deactivation Date January 09, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Miller, MD was a registered Ophthalmology practicing in Salem, OR. Throughout an active medical career spanning 12 years, Dr. Miller provided care at the practice location at 2001 COMMERCIAL ST SE until profile deactivation on 2018-01-09.

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

Practice Location & Contact Primary Location

Practice Address

2001 Commercial St Se

Salem, OR 973025207

Telephone 5033631500
Associated Practice Facility / Clinic
🏢 Willamette Valley Eyewear Facility NPI 1457578627

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.9 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
24 Specialists

Practicing in Salem, OR (341 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
28.8% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92012 Established patient problem focused exam of visual system
35 31 $100.00 $84.04
92004 New patient complete exam of visual system
29 29 $209.00 $146.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $204.00 $158.44
92014 Established patient complete exam of visual system
13 13 $140.00 $121.95
92083 Exam of visual field with extended testing
12 12 $150.00 $60.24

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OR MD11962

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

1 Associated Practitioners
NPI 1023828878

ASSOCIATETHERAPIST

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated January 09, 2018

Record deactivated on January 09, 2018

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Updated Practice Location August 29, 2017

Registered at 555 N 13TH AVE, UPLAND, CA 917864904 (Tel: (909) 982-8846)

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Updated Business Mailing Address August 29, 2017

Registered at 555 N 13TH AVE, UPLAND, CA 917864904 (Tel: (909) 982-8846)

NPI Profile Active February 02, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 02, 2012

Registered at 2001 COMMERCIAL ST SE, SALEM, OR 973025207 (Tel: 5033631500)

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Updated Business Mailing Address February 02, 2012

Registered at 2001 COMMERCIAL ST SE, SALEM, OR 973025207 (Tel: 5033631500)

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Provider Name / Credentials Updated February 02, 2012

Recorded as GORDON MILLER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2012

Ophthalmology (License #MD11962 in OR)

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Initial NPI Registration & Enumeration June 21, 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: 1922044627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2006
Last Update: February 02, 2012
Deactivation Date: January 09, 2018

Mailing Address

2001 Commercial St Se

Salem, OR 973025207

Phone: 5033631500

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.