Active NPI 1205006988 Individual Practitioner Male Practitioner

Dr. Marshall G Miles , DO

Plastic Surgery • Allentown, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marshall Miles, DO is a certified Plastic Surgery practicing in Allentown, PA. With approximately 24 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2002, Dr. Miles delivers high-quality medical care to the local community at 1243 S CEDAR CREST BLVD.

Dr. Miles is affiliated with Lehigh Valley Physician Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, creation of flap graft to head and/or neck. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1243 S Cedar Crest Blvd
Suite 301

Allentown, PA 181036268

Telephone 6104024375

Fax 6104024256

Associated Practice Facility / Clinic

🏢 Chiropractic Associates Of The Lehigh Valley, Llc Facility NPI 1821028549

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Allentown, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -4.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

12 Specialists

Practicing in Allentown, PA (239 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miles (24 Years) 24 Yrs

Allentown Specialty Average (28.0 Years) 28.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$220.00	$103.28
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$180.00	$80.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$110.00	$49.96
15733 Creation of flap graft to head and/or neck	23	21	$2697.39	$896.97
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$145.00	$68.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	39	$88.33	$54.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$208.93	$108.57
15733 Creation of flap graft to head and/or neck	28	26	$2110.00	$920.22
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$145.93	$87.42
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$140.29	$69.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	34	$85.00	$55.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$315.00	$165.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$205.00	$110.15
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$140.00	$87.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$205.00	$126.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$170.00	$69.82
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	11	11	$1860.00	$744.08
15733 Creation of flap graft to head and/or neck	11	11	$2110.00	$1021.54
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$1135.00	$229.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$315.00	$165.06
99213 Established patient office or other outpatient visit, typically 15 minutes	42	36	$140.00	$88.86
15733 Creation of flap graft to head and/or neck	26	26	$2158.69	$1021.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$205.00	$128.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	17	$170.00	$71.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$85.00	$52.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$205.00	$111.26
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	13	13	$1860.00	$695.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	52	$140.00	$73.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$205.69	$103.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$315.00	$164.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$205.00	$107.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	21	$158.57	$72.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$265.00	$138.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$205.00	$102.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$315.00	$159.60
99213 Established patient office or other outpatient visit, typically 15 minutes	45	44	$140.00	$72.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$205.00	$102.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	20	$140.00	$69.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$265.00	$136.72
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	18	16	$655.00	$228.47
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	15	14	$2160.00	$719.20
21282 Reattachment of nasal and eye socket ligament, nose side	15	14	$1205.00	$203.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$85.00	$38.77
21390 Treatment of broken floor of eye bone through eye area with implant	11	11	$1570.00	$804.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	45	$140.00	$68.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$205.00	$104.97
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$195.00	$99.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$315.00	$156.15
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	16	13	$2160.00	$766.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$205.00	$100.84
15734 Creation of muscle graft to trunk	14	13	$4500.00	$1372.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$390.00	$202.57
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	12	$775.00	$148.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	132	11	$470.00	$221.49
99213 Established patient office or other outpatient visit, typically 15 minutes	48	41	$140.00	$66.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$205.00	$101.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$315.00	$159.14
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	23	23	$2160.00	$778.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$205.00	$103.78
15732 Muscle flap wound repair at head and neck	21	21	$2955.00	$1100.24
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$775.00	$137.38

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License PA OS013989

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Hospital & Practice Group Affiliations

Lehigh Valley Physician Group

1243 S Cedar Crest Blvd, Allentown, PA 181036365

Phone: 6104024375

Practice Associates & Co-Workers

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

10 Associated Practitioners

Patrick Kregeloh

Physician Assistant

NPI 1184405631

Ashley Tonkin

Physician Assistant - Surgical

NPI 1225412034

Dr. Victor King , MD

Plastic Surgery

NPI 1295226041

Doctor of Medicine (M.D.)

Lorraine Dillon , PA

Physician Assistant - Surgical

NPI 1376651794

Physician Assistant

Mercille Nguyen

Physician Assistant

NPI 1437030590

Dr. Lino Miele , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1477684710

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 November 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2015

Registered at 1243 S CEDAR CREST BLVD, SUITE 301, ALLENTOWN, PA 181036268 (Tel: 6104024375)

📍

Updated Business Mailing Address November 20, 2015

Registered at PO BOX 783311, PHILADELPHIA, PA 191783311

👤

Provider Name / Credentials Updated November 20, 2015

Recorded as MARSHALL MILES, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2015

Plastic Surgery (License #OS013989 in PA)

🟢

Initial NPI Registration & Enumeration March 10, 2008

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: 1205006988

Entity Type:

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

Enumeration Date: March 10, 2008

Last Update: November 20, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 783311

Philadelphia, PA 191783311

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.