MICAH JON NIEBOER MD
NPI 1336702224
Orthopaedic Surgery in Rochester, MN
About Micah Jon Nieboer Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICAH JON NIEBOER MD (NPI 1336702224) is an individual orthopaedic surgery provider in Rochester, Minnesota, licensed in Minnesota (68395) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains a secondary practice location in Temple Terrace.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Micah Jon Nieboer Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Micah Nieboer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, MN 55905
- Reassigned Medicare billing, Minnesota enrollment
- 6,534 clinicians in this Medicare group
Tallahassee, FL 32308
- Reassigned Medicare billing, Florida enrollment
- 474 clinicians in this Medicare group
New Port Richey, FL 34652
- Reassigned Medicare billing, Florida enrollment
- 378 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic Hospital Rochester
Acute Care Hospitals · Rochester, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCHESTER, MN 55905
ROCHESTER, MN 55905
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 Micah Nieboer's NPI number?
The NPI number for Micah Nieboer is 1336702224. It was assigned to this individual provider in the NPPES registry on April 17, 2019.
Where is Micah Nieboer located?
Micah Nieboer practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.
What is Micah Nieboer's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Micah Nieboer enrolled in Medicare?
Yes. Micah Nieboer 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 Micah Nieboer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Micah Nieboer reassigns Medicare benefits to 3 organizations: Mayo Clinic (Rochester, MN), Tallahassee Orthopedic Clinic III Pl (Tallahassee, FL) and Musculoskeletal Institute Chartered (New Port Richey, FL). 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 Micah Nieboer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Micah Nieboer affiliated with any hospitals?
According to CMS data, Micah Nieboer is affiliated with Mayo Clinic Hospital Rochester.
When was this NPI record last updated?
The NPPES record for Micah Nieboer was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Micah Jon Nieboer, MD · NPI 1336702224
Orthopaedic Surgery physician in Rochester, Minnesota. Individual provider, active in the CMS NPPES registry since April 17, 2019.
## Identity
- **NPI:** 1336702224 (Entity type: Individual)
- **Enumerated:** April 17, 2019
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 68395 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 1ST ST SW, Rochester, MN 55905-2305
- **Phone:** (507) 284-2511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic (NPI 1114343860, Rochester, MN); Tallahassee Orthopedic Clinic III Pl (NPI 1194778050, Tallahassee, FL); Musculoskeletal Institute Chartered (NPI 1245863034, New Port Richey, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** July 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336702224) · Data from the CMS NPPES public registry.