Active NPI 1639488406 Individual Practitioner Male Practitioner

Robert J Niles , PA-C

Physician Assistant • Amery, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Robert Niles, PA-C is a certified Physician Assistant practicing in Amery, WI. With approximately 16 years of clinical experience since completing medical education in 2010, Robert Niles delivers high-quality medical care to the local community at 265 GRIFFIN ST. EAST.

Robert Niles is affiliated with Fairview Clinics and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, manual urinalysis test with examination using microscope, automated, bacterial colony count, urine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

265 Griffin St. East

Amery, WI 540011439

Telephone 7152688000

Fax 7152680311

Associated Practice Facility / Clinic

🏢 Amery Regional Medical Center, Inc Facility NPI 1093763518

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Amery, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +6.0 yrs vs City Avg

City Avg: 10.0 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Amery, WI (3517 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Niles (16 Years) 16 Yrs

Amery Specialty Average (10.0 Years) 10.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	82	$485.94	$103.92
99213 Established patient office or other outpatient visit, typically 15 minutes	79	76	$343.30	$75.02
81001 Manual urinalysis test with examination using microscope, automated	30	29	$10.80	$3.11
87086 Bacterial colony count, urine	22	21	$22.00	$7.91
87651 Detection test for Strep (Streptococcus, group A)	22	22	$93.55	$32.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$688.20	$148.04
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	16	15	$136.25	$47.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$420.47	$91.35
71046 X-ray of chest, 2 views	14	14	$80.00	$23.31

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	101	93	$453.62	$105.95
99213 Established patient office or other outpatient visit, typically 15 minutes	88	83	$324.15	$74.57
81001 Manual urinalysis test with examination using microscope, automated	36	34	$10.33	$2.95
87086 Bacterial colony count, urine	27	26	$22.67	$7.91
87651 Detection test for Strep (Streptococcus, group A)	20	20	$81.50	$33.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$389.53	$84.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$565.92	$137.40

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	104	100	$425.63	$105.79
99213 Established patient office or other outpatient visit, typically 15 minutes	100	96	$301.38	$74.84
81001 Manual urinalysis test with examination using microscope, automated	35	32	$10.66	$3.13
87086 Bacterial colony count, urine	28	26	$24.43	$7.68
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	26	26	$170.54	$71.19
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	26	26	$52.85	$23.73
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$37.00	$16.25
87651 Detection test for Strep (Streptococcus, group A)	22	22	$75.32	$34.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$561.00	$138.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$366.38	$88.38
36415 Insertion of needle into vein for collection of blood sample	11	11	$12.00	$2.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$604.45	$151.17

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	71	69	$368.31	$109.49
99213 Established patient office or other outpatient visit, typically 15 minutes	68	67	$253.06	$77.16
81001 Manual urinalysis test with examination using microscope, automated	29	28	$11.00	$3.08
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	28	28	$129.00	$75.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	28	28	$48.00	$25.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$495.14	$152.54
36415 Insertion of needle into vein for collection of blood sample	15	15	$12.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	13	$24.77	$7.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$555.67	$140.81
87086 Bacterial colony count, urine	11	11	$26.00	$8.07

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	95	90	$341.19	$91.22
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$233.42	$63.37
81001 Manual urinalysis test with examination using microscope, automated	20	19	$10.75	$2.99
36415 Insertion of needle into vein for collection of blood sample	17	17	$11.29	$2.80
87086 Bacterial colony count, urine	15	14	$25.53	$7.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$336.17	$90.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$462.33	$122.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$520.00	$138.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$24.45	$7.02

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	128	122	$318.06	$89.62
99213 Established patient office or other outpatient visit, typically 15 minutes	64	59	$214.66	$61.48
81001 Manual urinalysis test with examination using microscope, automated	32	31	$10.72	$3.45
87086 Bacterial colony count, urine	23	22	$25.65	$8.79
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	21	$37.57	$16.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$304.59	$89.79
87081 Screening test for pathogenic organisms	16	16	$19.13	$7.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$426.57	$121.45
36415 Insertion of needle into vein for collection of blood sample	13	13	$11.62	$2.71
87210 Smear for infectious agents	11	11	$13.73	$5.70

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	48	46	$292.75	$83.49
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$199.71	$59.39
81001 Manual urinalysis test with examination using microscope, automated	19	18	$10.00	$3.84
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$192.00	$39.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$192.00	$42.12
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$200.46	$61.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$313.24	$89.83

Medical Specialties & State Licenses

CMS Verified: 2022-06-27

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 10827

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WI 2713-23

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1639488406 (WI)

Medicaid State Provider ID

1639488406 (MN)

Hospital & Practice Group Affiliations

Fairview Clinics

3305 Central Park Village Dr, Eagan, MN 551217707

Phone: 6514068860

Fairview Clinics

6545 France Ave S, Edina, MN 554352180

Phone: 9528485600

Fairview Clinics

5200 Fairview Blvd, Wyoming, MN 550928013

Phone: 6519827000

Fairview Clinics

1700 University Ave W, Saint Paul, MN 551043727

Phone: 9529141732

Fairview Clinics

10000 Zane Ave N, Brooklyn Park, MN 554431400

Phone: 7635286999

Fairview Clinics

13819 Hanson Blvd Nw, Andover, MN 553047608

Phone: 6126265775

Fairview Clinics

1440 Duckwood Dr, Eagan, MN 551221451

Phone: 6514068860

Practice Associates & Co-Workers

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

40 Associated Practitioners

Linda Mueller

Counselor - Mental Health

NPI 1003142803

Dr. Laura Wrenn , PhD

Social Worker - Clinical

NPI 1003929324

Doctor of Philosophy (Ph.D.)

Dr. Michael Deboer , MD

Emergency Medicine

NPI 1023509031

Doctor of Medicine (M.D.)

Dr. Patricia Spencer , MD, MPH, MBA

Family Medicine

NPI 1033347562

Doctor of Medicine (M.D.), Master of Public Health, Master of Business Administration

Lee Smith

Nurse Practitioner - Family

NPI 1033700257

Lilia Caamano Mendoza , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033890439

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2022

Physician Assistant (License #2713-23 in WI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2019

Physician Assistant (License #10827 in MN)

✅

NPI Profile Active September 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2012

Registered at 265 GRIFFIN ST. EAST, AMERY, WI 540011439 (Tel: 7152688000)

📍

Updated Business Mailing Address September 05, 2012

Registered at 265 GRIFFIN ST. EAST, AMERY, WI 540011439 (Tel: 7152688000)

👤

Provider Name / Credentials Updated September 05, 2012

Recorded as ROBERT NILES, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2012

Physician Assistant (License #2713-23 in WI)

🟢

Initial NPI Registration & Enumeration September 28, 2010

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 Robert Niles. 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: 1639488406

Entity Type:

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

Enumeration Date: September 28, 2010

Last Update: June 27, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

265 Griffin St. East

Amery, WI 540011439

Phone: 7152688000

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.