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Active NPI 1255394714 Individual Practitioner Male Practitioner

Dr. Michael Miller , DO

General Practice • Kingston, PA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Miller, DO is a registered healthcare professional specializing in General Practice in Kingston, PA. Practice services are available at 676 WYOMING AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

676 Wyoming Ave
Suite 104

Kingston, PA 187043857

Telephone 5702871400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Kingston, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Kingston, PA (434 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
23.0% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
128 81 $140.00 $120.31
99213 Established patient office or other outpatient visit, typically 15 minutes
72 56 $110.00 $86.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
33 33 $150.00 $122.37
G0008 Administration of influenza virus vaccine
19 19 $35.00 $30.77
90662 Influenza vaccine split virus, preservative free
18 18 $120.00 $81.82
99497 Advance care planning, first 30 minutes
15 15 $120.00 $78.38

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PA 05008632L

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Obstetrics & Gynecology

NUCC Taxonomy Code: 207V00000X

State License PA OS008632L

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
001729923 (PA)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Kathy Reiser , LPC

Counselor - Professional

NPI 1215228291

Licensed Professional Counselor

Dr. Anil Rai , MD

Psychiatry & Neurology - Psychiatry

NPI 1306830658

Doctor of Medicine (M.D.)

Dr. Maria Richards , PsyD

Psychologist - Clinical

NPI 1386964963

Doctor of Psychology (Psy.D.)

John Shovlin , MA

Psychologist

NPI 1447356852

Master of Arts

NPI 1629170071

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address April 30, 2019

Registered at 480 PIERCE ST, STE 205, KINGSTON, PA 187045512 (Tel: 5702871400)

NPI Profile Active July 23, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2010

Registered at 676 WYOMING AVE, SUITE 104, KINGSTON, PA 187043857 (Tel: 5702871400)

📍
Updated Business Mailing Address July 23, 2010

Registered at 676 WYOMING AVE, SUITE 104, KINGSTON, PA 187043857 (Tel: 5702871400)

👤
Provider Name / Credentials Updated July 23, 2010

Recorded as MICHAEL MILLER, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2010

Obstetrics & Gynecology (License #OS008632L in PA)

🟢
Initial NPI Registration & Enumeration April 07, 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: 1255394714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2006
Last Update: April 30, 2019
Sole Proprietor: No

Mailing Address

480 Pierce St, Ste 205

Kingston, PA 187045512

Phone: 5702871400

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.