Active NPI 1427058189 Individual Practitioner Male Practitioner

Dr. John E Nile , DO

Surgery • Rochester, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Nile, DO is a certified Surgery practicing in Rochester, IN. With approximately 34 years of clinical experience since graduating from University Of North Texas Hsc, College Of Osteopathic Med in 1992, Dr. Nile delivers high-quality medical care to the local community at 1400 E 9TH ST.

Dr. Nile is affiliated with Woodlawn Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 E 9th St

Rochester, IN 469758931

Telephone 5742232244

Fax 5742232249

Associated Practice Facility / Clinic

🏢 Woodlawn Hospital Facility NPI 1265413405

Medicare Profile & Education

Medical School

University Of North Texas Hsc, College Of Osteopathic Med

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rochester, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +5.2 yrs vs City Avg

City Avg: 28.8 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Rochester, IN (657 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nile (34 Years) 34 Yrs

Rochester Specialty Average (28.8 Years) 28.8 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
45380 Biopsy of large bowel using an endoscope	16	16	$1521.00	$132.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	21	21	$1491.00	$176.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$1134.00	$106.17

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	58	49	$171.00	$120.65
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$115.00	$84.15
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	23	$1112.00	$93.20
45380 Biopsy of large bowel using an endoscope	22	22	$1462.00	$171.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$77.00	$52.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$290.00	$147.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$200.00	$105.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$111.00	$86.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$164.00	$122.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$279.00	$154.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$74.00	$51.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$192.00	$105.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$1069.00	$101.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	36	$107.00	$71.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$185.00	$101.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$158.00	$103.36
45380 Biopsy of large bowel using an endoscope	22	21	$1352.00	$161.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$71.00	$42.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	11	$77.00	$37.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$248.00	$129.45

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 02001836

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200130690 (IN)

Hospital & Practice Group Affiliations

Woodlawn Hospital

1400 E 9th St, Rochester, IN 469758931

Phone: 5742233141173

Practice Associates & Co-Workers

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

25 Associated Practitioners

Dr. Jerrod Feldman , MD

Pediatrics

NPI 1003818949

Doctor of Medicine (M.D.)

Dr. Omazonna Amadi , MD

Family Medicine

NPI 1013400753

Doctor of Medicine (M.D.)

Jennifer Lauro

Occupational Therapist

NPI 1033061916

Dr. Ricardo Young , MD

Surgery

NPI 1033275037

Doctor of Medicine (M.D.)

Dr. Jennifer Sult , MD

Family Medicine

NPI 1043436009

Doctor of Medicine (M.D.)

Dr. Suk Lee , MD

Radiology - Diagnostic Radiology

NPI 1053402792

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2014

Registered at 1400 E 9TH ST, ROCHESTER, IN 469758931 (Tel: 5742232244)

📍

Updated Business Mailing Address October 02, 2014

Registered at 1400 E 9TH ST, ROCHESTER, IN 469758931 (Tel: 5742241044)

👤

Provider Name / Credentials Updated October 02, 2014

Recorded as JOHN NILE, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2014

Surgery (License #02001836 in IN)

🟢

Initial NPI Registration & Enumeration July 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. John Nile. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1427058189

Entity Type:

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

Enumeration Date: July 26, 2005

Last Update: October 02, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1400 E 9th St

Rochester, IN 469758931

Phone: 5742241044

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.