MARK R MILES M.D.
NPI 1598792384
Obstetrics & Gynecology in Great Falls, MT

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1400 29TH ST S STE 101, GREAT FALLS, MT 59405(406) 761-7924 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, Mar 7, 2023, Feb 28, 2022 and 3 more (6 updates tracked since 2021).

About Mark R Miles M.d. NPPES

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

MARK R MILES M.D. (NPI 1598792384) is an individual obstetrics & gynecology provider in Great Falls, Montana, licensed in Montana (5161) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1598792384
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARK R MILESCredential: M.D.
Location Address1400 29TH ST S STE 101Great Falls, MT 59405-5316
Mailing Address1400 29th St S Ste 101Great Falls, MT 59405-5316 · (406) 761-7924
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJune 27, 2006
Last NPPES UpdateDecember 9, 20256 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1598792384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MT · 5161✔ Licensed in AK · 6498
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 5161 (MT)
1400 29TH ST S STE 101, Great Falls, MT 59405

Secondary Practice Locations 3

Location 1601 1st Ave NGreat Falls, MT 59401-2510 · Phone (406) 454-6973 · Fax (406) 791-9277
Location 21875 University Ave S, Unit 1Fairbanks, AK 99709-4906 · Phone (907) 374-6959 · Fax (907) 374-6979
Location 3500 W Broadway St Fl 4BbMissoula, MT 59802-4008 · Phone (406) 329-5828

Other Identifiers 2

Medicaid0094263MT
MedicaidMD0540AK

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

Mark R Miles M.d. 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 ID6204737570
PECOS Enrollment IDI20250528003502
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

6

Medicare enrollment records show Mark Miles reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
1400 29TH ST S STE 101
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 15 clinicians in this Medicare group
General Acute Care Hospital
1101 26TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
Cardiovascular Disease
1417 9TH ST S, SUITE 203
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 325 clinicians in this Medicare group
Clinic/Center
20 13TH ST W
Havre, MT 59501
  • Reassigned Medicare billing, Montana enrollment
  • 81 clinicians in this Medicare group
General Acute Care Hospital
3905 WELLNESS WAY
Bozeman, MT 59718
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Billings Clinic
  • 1,264 clinicians in this Medicare group
Obstetrics & Gynecology
1800 NW MYHRE RD
Silverdale, WA 98383
  • Reassigned Medicare billing, Washington enrollment
  • 223 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 3

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.
41 services25 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 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology
1400 29TH ST S STE 101
GREAT FALLS, MT 59405
Obstetrics & Gynecology
1400 29TH ST S STE 101
GREAT FALLS, MT 59405
Nurse Practitioner (Family)
1400 29TH ST S STE 101
GREAT FALLS, MT 59405

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 Mark Miles's NPI number?

The NPI number for Mark Miles is 1598792384. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Mark Miles located?

Mark Miles practices at 1400 29th St S Ste 101, Great Falls, MT 59405. The listed phone number is (406) 761-7924.

What is Mark Miles's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Miles enrolled in Medicare?

Yes. Mark 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.

Which organizations bill Medicare for Mark Miles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Miles reassigns Medicare benefits to 6 organizations: Great Falls Obstetrical And Gynecological Associates (Great Falls, MT), Benefis Hospitals, Inc. (Great Falls, MT), Providence Health & Services Mt (Great Falls, MT), Northern Montana Hospital (Havre, MT), Billings Cinic (Bozeman, MT) and 1 more organization, listed in the Medicare section above. 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 Mark Miles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Miles accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Miles was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.