DR. ROBERT MAC MILEY D.O.
NPI 1144519562
Family Medicine in Grand Junction, CO

Active since April 06, 2011PECOS EnrolledAccepts Medicare Assignment
2020 N 12TH ST, GRAND JUNCTION, CO 81501(970) 644-4220(970) 263-4239 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Robert Mac Miley D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT MAC MILEY D.O. (NPI 1144519562) is an individual family medicine provider in Grand Junction, Colorado, licensed in Colorado (DR.0066028) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Warsaw, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2011).

NPPES Registry Identity

NPI1144519562
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT MAC MILEYCredential: D.O.
Location Address2020 N 12TH STGrand Junction, CO 81501-2914
Mailing AddressPo Box 1727Grand Junction, CO 81502-1727 · (970) 644-4220 · Fax (970) 263-4239
Fax(970) 263-4239
Sole ProprietorYes
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2011
Enumeration DateApril 6, 2011
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1144519562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CO · DR.0066028✔ Licensed in MO · 2013030080
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2020 N 12TH ST, Grand Junction, CO 81501

Secondary Practice Location 1

Location 11765 Commercial StWarsaw, MO 65355-3096 · Phone (660) 438-6800

Other Identifiers 1

Medicaid1144519562MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Mac Miley D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224253232
PECOS Enrollment IDI20210722001587
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Robert Miley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2020 N 12TH ST
Grand Jct, CO 81501
  • Reassigned Medicare billing, Colorado enrollment
  • 100 clinicians in this Medicare group
Rural Health
1765 COMMERCIAL ST
Warsaw, MO 65355
  • Reassigned Medicare billing, Missouri enrollment
  • 196 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
400 services173 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
217 services166 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
138 services101 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
99 services55 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
90 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
86 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims61 services$5.15 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$16.13 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$52.92 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier25 claims25 services$4.88 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$33.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$92.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2020 N 12TH ST
GRAND JCT, CO 81501
Internal Medicine (Infectious Disease)
2020 N 12TH ST
GRAND JUNCTION, CO 81501
Family Medicine
2020 N 12TH ST
GRAND JUNCTION, CO 81501
Specialist
2020 N 12TH ST
GRAND JCT, CO 81501
Nurse Practitioner
2020 N 12TH ST
GRAND JUNCTION, CO 81501
Family Medicine
2020 N 12TH ST
GRAND JUNCTION, CO 81501
Physician Assistant (Medical)
2020 N 12TH ST
GRAND JUNCTION, CO 81501
Counselor (Professional)
2020 N 12TH ST
GRAND JUNCTION, CO 81501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Miley's NPI number?

The NPI number for Robert Miley is 1144519562. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Robert Miley located?

Robert Miley practices at 2020 N 12th St, Grand Junction, CO 81501. The listed phone number is (970) 644-4220.

What is Robert Miley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Miley enrolled in Medicare?

Yes. Robert Miley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Robert Miley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Miley reassigns Medicare benefits to 2 organizations: Community Medical Group, LLC (Grand Jct, CO) and Bothwell Regional Health Center (Warsaw, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Miley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Miley accept?

Health plans from University of Utah Health Plans list Robert Miley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Miley was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.