DR. JOHN E NILE D.O.
NPI 1427058189
Surgery in Rochester, IN

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
47.86/100
CMS Quality Rating
1400 E 9TH ST, ROCHESTER, IN 46975(574) 223-2244(574) 223-2249 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John E Nile D.o. NPPES

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

DR. JOHN E NILE D.O. (NPI 1427058189) is an individual surgery provider in Rochester, Indiana, licensed in Indiana (02001836) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Woodlawn Hospital, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1992).

NPPES Registry Identity

NPI1427058189
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN E NILECredential: D.O.
Location Address1400 E 9TH STRochester, IN 46975-8931
Mailing Address1400 E 9th StRochester, IN 46975-8931 · (574) 224-1044 · Fax (574) 224-1103
Fax(574) 223-2249
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1992
Enumeration DateJuly 26, 2005
Last NPPES UpdateOctober 2, 2014
NPI 1427058189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IN · 02001836
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1400 E 9TH ST, Rochester, IN 46975

Other Identifiers 3

Medicare PINM400074796IN
Medicaid200130690IN
Medicare UPING51097

Accepted 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

Dr. John E Nile 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 ID42258956
PECOS Enrollment IDI20050421000258
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

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Woodlawn Hospital

Critical Access Hospitals · Rochester, IN
OwnershipGovernment - Local
CMS Certification Number151313
Location1400 E 9th StRochester, IN 46975 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46975 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

47.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.13
Promoting Interoperability0
Improvement Activities40
Cost36.4

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.

Pediatrics
1400 E 9TH ST
ROCHESTER, IN 46975
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Occupational Therapist
1400 E 9TH ST
ROCHESTER, IN 46975
Surgery
1400 E 9TH ST
ROCHESTER, IN 46975
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975
Nurse Practitioner (Family)
1400 E 9TH ST
ROCHESTER, IN 46975
Family Medicine
1400 E 9TH ST
ROCHESTER, IN 46975

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 John Nile's NPI number?

The NPI number for John Nile is 1427058189. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is John Nile located?

John Nile practices at 1400 E 9th St, Rochester, IN 46975. The listed phone number is (574) 223-2244.

What is John Nile's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Nile enrolled in Medicare?

Yes. John Nile 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 John Nile accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list John Nile 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 John Nile affiliated with any hospitals?

According to CMS data, John Nile is affiliated with Woodlawn Hospital.

When was this NPI record last updated?

The NPPES record for John Nile was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.