NPI registry status
Active
2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1245265610 MD
Verify on CMS → Paul Miller, MD
Adult Reconstructive Orthopaedic Surgery Physician in Rapid City, South Dakota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,254 in Adult Reconstructive Orthopaedic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
175
Medicare Part D claims · 50 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
85.7/100
▲ 3 pts above national avg 83.1 · Above neutral
What the federal data shows
Paul Miller, MD reported a CMS MIPS final score of 85.7/100 - above the 83.1 national average - and filed 175 Medicare Part D claims in 2023.
- 85.7/100
- MIPS score · +3 vs avg
- 175
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Paul Miller, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
86 49th percentile higher than 49% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Paul Miller, MD sits
This provider among adult reconstructive orthopaedic surgery physician peers
Across the 496 adult reconstructive orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Miller, MD writes more Part D claims than 25% of them and scores higher on MIPS quality than 65% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one adult reconstructive orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Paul Miller, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Paul Miller, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Paul Miller, MD?
High performer (top quartile)Primary specialty
Adult Reconstructive Orthopaedic Surgery Physician
Medicare Part D claims
175 65% vs specialty avg
MIPS final score
85.7/100 2.6 pts vs avg
Specialty distribution in South Dakota
How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among South Dakota providers
Medicare quality performance, MIPS
Paul Miller, MD's 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average
- MIPS Final Score
- 85.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) - 85.7/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Paul Miller, MD appears in the CMS NPPES registry as an Adult Reconstructive Orthopaedic Surgery Physician provider holding MD credentials at 2805 5TH ST, Rapid City, SD, 57701, with a listed phone of (605) 755-5700. NPI 1245265610 was issued on 07/12/2006.
Medicare Part D records for calendar year 2023 show 175 prescription claims written by this provider, covering 50 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 52.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.7/100 for the 2023 performance year (Quality 90.3, Cost 62), compared with the national average of 83.1.
Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,254 enrolled providers across 51 states and an average of 493 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1245265610 |
|---|---|
| Specialty | Adult Reconstructive Orthopaedic Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.7051
Final Score
Avg: 83.1
90.3347
Quality
62.0157
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Paul Miller, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Christus Trinity Clinic
Port Neches, TX
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
175
Total Claims
$5K
Total Drug Cost
50
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 183
- Total Day Supply
- 2,713
- Generic Drug Cost
- $2K
- Opioid Claims
- 91 (52.0% rate)
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 68.7 years
- Avg HCC Risk Score
- 1.53
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 15, 65-74: 21, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Paul Miller, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
36 claims
- Celecoxib
Celecoxib
26 claims
- Oxycodone Hcl
Oxycodone Hcl
26 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
18 claims
- Gabapentin
Gabapentin
16 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 36 |
| Celecoxib | 26 |
| Oxycodone Hcl | 26 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 18 |
| Gabapentin | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Adult Reconstructive Orthopaedic Surgery Physician in SD →
All providers in South Dakota →
Compare specialties →
Adult Reconstructive Orthopaedic Surgery Physician Overview
How Paul Miller, MD fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.
1,254
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider
Paul Miller, MD's 175 claims are below the specialty average of 493.
Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in South Dakota
Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Miller.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the South Dakota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Reconstructive Orthopaedic Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Paul Miller, MD's specialty? ▼
Paul Miller, MD specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Rapid City, South Dakota. Credentials: MD.
How much does Paul Miller, MD prescribe under Medicare Part D? ▼
In 2023, Paul Miller, MD wrote 175 Medicare Part D claims totaling $5K in drug costs for 50 beneficiaries.
What is Paul Miller, MD's Medicare quality score? ▼
Paul Miller, MD has a CMS MIPS Final Score of 85.7/100 (Quality: 90.3, Cost: 62). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paul Miller, MD located? ▼
Paul Miller, MD is located at 2805 5TH ST, Rapid City, SD, 57701. Phone: (605) 755-5700.
What is Paul Miller, MD's NPI number? ▼
Paul Miller, MD's National Provider Identifier (NPI) is 1245265610, issued on 07/12/2006.
Does Paul Miller, MD prescribe opioids? ▼
Yes, Paul Miller, MD had 91 opioid claims in 2023 with an opioid prescribing rate of 52.0%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US? ▼
There are 1,254 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does Paul Miller, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Paul Miller, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Celecoxib, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Miller, MD accept Medicare? ▼
Paul Miller, MD appears in CMS Medicare data with 175 Part D claims and 50 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Miller, MD's credentials? ▼
Paul Miller, MD's NPI is 1245265610 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.