Dr. David Richard McMillan

Dr. McMillan provides expert care for adults with a wide range of medical conditions, including:

Geriatric Syndromes & Focused Elder Care

• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.

Select Infectious & Inflammatory Conditions

• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.

Complex Diagnostic & Multi-System Issues

• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.

Dr. McMillan manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.

Note: This list represents some of the key services offered by Dr. McMillan. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. McMillan's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. McMillan's practice is located in Downtown Peterborough, within the Central neighborhood. The clinic is situated in proximity to Mount Sinai Hospital, Peterborough Sport & Wellness Centre, and Peterborough Regional Health Centre. Patients can access the location via Peterborough Transit, with multiple bus routes serving the area. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. McMillan? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. McMillan are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. McMillan. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

What is the appointment cancellation policy?

We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.

Mount Sinai Hospital
Suite 206, 1 Hospital Drive
Peterborough, ON K9J 7C6

Phone: (705) 743-2121

The facility is wheelchair accessible.

Dr. McMillan is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/McMillan-David-Richard/0045506-59484