Deactivated NPI 1215933973 Deactivated / Inactive NPI Male Practitioner

Dr. A Larry Miller , MD

Specialist • Vienna, VA

✓ Accepts Medicare Assignment

⚠️

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

Registration / Start Date June 27, 2005

NPI Deactivation Date March 16, 2006

Total Practice Duration ~38 Years of Practice (1968 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. A Miller, MD was a registered Specialist practicing in Vienna, VA. Throughout an active medical career spanning 38 years, Dr. Miller provided care at the practice location at 311 MAPLE AVE W until profile deactivation on 2006-03-16.

Dr. Miller was affiliated with Privia Medical Group, Llc and accepted Medicare assignment.

Historical Medicare Part B clinical services included professional service for preparation and provision of, professional service for multiple injections of allergen, injection of incremental dosages of allergen. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

311 Maple Ave W
Ste H

Vienna, VA 221804309

Telephone 7039385660

Fax 7032428712

Associated Practice Facility / Clinic

🏢 J Kenneth Bowman Dc Inc Pc Facility NPI 1568641538

Medicare Profile & Education

Medical School

Other

Graduation Year

1968

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Vienna, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

58 Yrs +12.3 yrs vs City Avg

City Avg: 45.7 Yrs

State Avg: 37.5 Yrs

Regional Practice Density

16 Specialists

Practicing in Vienna, VA (878 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miller (58 Years) 58 Yrs

Vienna Specialty Average (45.7 Years) 45.7 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
95165 Professional service for preparation and provision of 1 or more antigens	1,584	54	$38.00	$16.60
95117 Professional service for multiple injections of allergen	748	44	$38.00	$14.28
95115 Injection of incremental dosages of allergen	167	13	$31.00	$12.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	49	$304.00	$139.82
94010 Test to measure expiratory airflow and volume	17	16	$106.00	$31.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$466.00	$184.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,392	56	$38.00	$17.92
95117 Professional service for multiple injections of allergen	785	51	$38.00	$14.19
95004 Test for allergy using allergenic extract	652	13	$19.00	$4.81
95024 Injection of allergenic extracts into skin for immediate reaction analysis	97	13	$24.00	$9.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	47	$304.00	$142.23
94010 Test to measure expiratory airflow and volume	18	14	$106.00	$31.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$466.00	$186.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,609	65	$38.00	$18.80
95117 Professional service for multiple injections of allergen	908	60	$38.00	$14.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	51	$304.00	$145.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$466.00	$192.61
94010 Test to measure expiratory airflow and volume	17	12	$106.00	$32.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,101	79	$38.00	$19.53
95117 Professional service for multiple injections of allergen	1,098	69	$38.00	$14.21
95004 Test for allergy using allergenic extract	706	12	$19.00	$5.18
95115 Injection of incremental dosages of allergen	179	14	$31.00	$11.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	77	$304.00	$149.23
95024 Injection of allergenic extracts into skin for immediate reaction analysis	92	12	$24.00	$10.85
94010 Test to measure expiratory airflow and volume	25	15	$106.00	$33.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$466.00	$195.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,673	78	$38.00	$17.69
95117 Professional service for multiple injections of allergen	1,079	73	$38.00	$13.20
95115 Injection of incremental dosages of allergen	200	13	$31.00	$11.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	68	$304.00	$123.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$466.00	$176.46
94010 Test to measure expiratory airflow and volume	19	12	$106.00	$33.90
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$206.00	$87.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,420	83	$38.00	$16.94
95004 Test for allergy using allergenic extract	1,194	20	$19.00	$4.89
95117 Professional service for multiple injections of allergen	1,176	71	$38.00	$12.86
95115 Injection of incremental dosages of allergen	183	14	$31.00	$11.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	92	$304.00	$123.04
95024 Injection of allergenic extracts into skin for immediate reaction analysis	151	17	$24.00	$9.38
94010 Test to measure expiratory airflow and volume	75	40	$106.00	$42.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$466.00	$174.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,200	82	$38.00	$15.49
95117 Professional service for multiple injections of allergen	1,060	69	$38.00	$12.42
95004 Test for allergy using allergenic extract	919	16	$19.00	$6.37
95115 Injection of incremental dosages of allergen	156	13	$28.76	$10.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	78	$304.00	$121.63
95024 Injection of allergenic extracts into skin for immediate reaction analysis	89	12	$24.00	$9.78
94010 Test to measure expiratory airflow and volume	70	37	$106.00	$42.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$466.00	$185.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,345	88	$38.00	$15.35
95117 Professional service for multiple injections of allergen	1,217	75	$38.00	$12.23
95004 Test for allergy using allergenic extract	1,016	16	$19.00	$8.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	100	$304.00	$119.85
95115 Injection of incremental dosages of allergen	141	12	$27.00	$10.70
95024 Injection of allergenic extracts into skin for immediate reaction analysis	113	15	$24.00	$9.33
94010 Test to measure expiratory airflow and volume	96	55	$106.00	$42.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$466.00	$184.36
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$206.00	$78.93

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101026494

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical Licence

0101026494 (VA)

Commercial Insurance / Payer ID Taxonomy

207KA0200X

Hospital & Practice Group Affiliations

Privia Medical Group, Llc

311 Maple Ave W, Vienna, VA 221804309

Phone: 7039385660

Privia Medical Group, Llc

950 N Glebe Rd, Arlington, VA 222034173

Privia Medical Group, Llc

9470 Annapolis Rd, Lanham, MD 207063022

Phone: 2028321800

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Barbara Mackie , MD

Allergy & Immunology

NPI 1861492852

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location July 09, 2007

Registered at 311 MAPLE AVE W, STE H, VIENNA, VA 221804309 (Tel: 7039385660)

📍

Updated Business Mailing Address July 09, 2007

Registered at 311 MAPLE AVE W, STE H, VIENNA, VA 221804309 (Tel: 7039385660)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as A MILLER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #0101026494 in VA)

🔄

NPI Profile Reactivated March 22, 2006

Record officially reactivated for active practice on March 22, 2006

⚠️

NPI Profile Deactivated March 16, 2006

Record deactivated on March 16, 2006

🟢

Initial NPI Registration & Enumeration June 27, 2005

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: 1215933973

Entity Type:

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

Enumeration Date: June 27, 2005

Last Update: July 09, 2007

Deactivation Date: March 16, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

311 Maple Ave W, Ste H

Vienna, VA 221804309

Phone: 7039385660

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.