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MARSHALL G MILES DO
NPI 1205006988
Plastic Surgery in Allentown, PA

Active since March 10, 2008PECOS EnrolledAccepts Medicare Assignment
1243 S CEDAR CREST BLVD, SUITE 301, ALLENTOWN, PA 18103(610) 402-4375(610) 402-4256 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marshall G Miles Do NPPES

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

MARSHALL G MILES DO (NPI 1205006988) is an individual plastic surgery provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS013989) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2002).

NPPES Registry Identity

NPI1205006988
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMARSHALL G MILESCredential: DO
Location Address1243 S CEDAR CREST BLVD, SUITE 301Allentown, PA 18103-6268
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Phone(610) 402-4375
Fax(610) 402-4256
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2002
Enumeration DateMarch 10, 2008
Last NPPES UpdateNovember 20, 2015
✔ NPI 1205006988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in PA · OS013989
Definition

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.

1243 S CEDAR CREST BLVD, Allentown, PA 18103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marshall G Miles Do 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 ID8022187640
PECOS Enrollment IDI20080521000698
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.

Areas of Expertise CMS Part B claims 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 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.
31 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services22 patients
Creation of flap graft to head and/or neck 15733
A flap graft to the head or neck is a surgical procedure where healthy tissue is moved from one area of your body to another. This is done to replace damaged tissue, improve blood flow, or restore function in the head or neck area.
23 services21 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

LEHIGH VALLEY PHYSICIAN GROUP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1243 S CEDAR CREST BLVD, SUITE 2800
ALLENTOWN, PA 18103
Lehigh County (610) 402-6790
KATHLEEN DRISCOLL POST CRNP
Nurse Practitioner (Family)
1243 S CEDAR CREST BLVD, STE 2800
ALLENTOWN, PA 18103
Lehigh County (610) 402-6790
DR. ROBERT B DOLL JR. M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1243 S CEDAR CREST BLVD, SUITE 2800
ALLENTOWN, PA 18103
Lehigh County (610) 402-6790
GRETCHEN PERILLI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1243 S CEDAR CREST BLVD, SUITE 2800
ALLENTOWN, PA 18103
Lehigh County (610) 402-6790
THERESA SHELHAMER
Nurse Practitioner (Family)
1243 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-9230
DR. ROBIN SPERDUTO SCHROEDER MD
Family Medicine (Obesity Medicine)
1243 S CEDAR CREST BLVD, SUITE 2300
ALLENTOWN, PA 18103
Lehigh County (610) 969-3500
MS. DONNA G BODEN RD
Dietitian, Registered
1243 S CEDAR CREST BLVD, SUITE 300
ALLENTOWN, PA 18103
Lehigh County (610) 402-4783
JESSICA HAASE RD
Dietitian, Registered
1243 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-6790

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 Marshall Miles's NPI number?

The NPI number for Marshall Miles is 1205006988. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Marshall Miles located?

Marshall Miles practices at 1243 S Cedar Crest Blvd Suite 301, Allentown, PA 18103. The listed phone number is (610) 402-4375.

What is Marshall Miles's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Marshall Miles enrolled in Medicare?

Yes. Marshall Miles 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.

What insurance does Marshall Miles accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marshall Miles 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.

Is Marshall Miles affiliated with any hospitals?

According to CMS data, Marshall Miles is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Marshall Miles was last updated on November 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.