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. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
175
Medicare Part D claims · 50 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
85.7051/100
▲ 3 pts above national avg 83.1 · [object Object]

What the federal data shows

PAUL MILLER, MD reported a CMS MIPS final score of 85.7051/100 — above the 83.1 national average — and filed 175 Medicare Part D claims in 2023.

85.7051/100
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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

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)

NPI registry status

Active

Issued 07/12/2006

NPI 1245265610

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

175 65% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

85.7051/100 2.6051000000000073% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Dakota

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among South Dakota providers

South Dakota providers

Adult Reconstructive Orthopaedic Surgery Physician share within South Dakota

1. Adult Reconstructive Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Reconstructive Orthopaedic Surgery Physician share within South Dakota

Medicare quality performance — MIPS

PAUL MILLER, MD's 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
85.7051/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 85.7051/100 vs national avg 83.1

0%100%National avg83%85.7%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 85.7051/100 vs national avg 83.1

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 a 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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MILLER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

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%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.7051/100 for the 2023 performance year (Quality 90.3347, Cost 62.0157), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 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

2805 5TH ST
RAPID CITY, SD 57701

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

Adult Reconstructive Orthopaedic Surgery Physician Overview

How PAUL MILLER, MD fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
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.

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

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 85.7051/100 (Quality: 90.3347, Cost: 62.0157). 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 1,245 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

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