MR. PHILIP ISAAC NILES MD
NPI 1609136126
Ophthalmology - Retina Specialist in Williamsville, NY

Active since May 17, 2012PECOS EnrolledAccepts Medicare Assignment
98.57/100
CMS Quality Rating
6480 MAIN ST, SUITE 1, WILLIAMSVILLE, NY 14221(716) 631-3300(716) 631-3303 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2020, Mar 24, 2017 (2 updates tracked since 2017).

About Mr. Philip Isaac Niles Md NPPES

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

MR. PHILIP ISAAC NILES MD (NPI 1609136126) is an individual retina specialist in Williamsville, New York, licensed in New York (2861401) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2012).

NPPES Registry Identity

NPI1609136126
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameMR. PHILIP ISAAC NILESCredential: MD
Location Address6480 MAIN ST, SUITE 1Williamsville, NY 14221-5852
Mailing Address6480 Main St, Suite 1Williamsville, NY 14221-5852 · (716) 631-3300 · Fax (716) 631-3303
Fax(716) 631-3303
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2012
Enumeration DateMay 17, 2012
Last NPPES UpdateApril 17, 20202 updates tracked since enumeration
NPPES CertifiedApril 17, 2020
NPI 1609136126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in NY · 2861401
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
6480 MAIN ST, Williamsville, NY 14221

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

Mr. Philip Isaac Niles 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.

PECOS PAC ID2163665811
PECOS Enrollment IDI20170517000522
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 14

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
22,080 services64 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,661 services456 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,533 services292 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,139 services646 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
1,054 services365 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
936 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

98.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.52
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Specialist
6480 MAIN ST, SIUTE #1
WILLIAMSVILLE, NY 14221
Dentist (General Practice)
6480 MAIN ST, SUITE 6
WILLIAMSVILLE, NY 14221
Specialist
6480 MAIN ST, SUITE #1
WILLIAMSVILLE, NY 14221
Dentist
6480 MAIN ST, SUITE 6
WILLIAMSVILLE, NY 14221
Ophthalmology
6480 MAIN ST, SUITE 1
WILLIAMSVILLE, NY 14221
Specialist
6480 MAIN ST, SUITE 1
WILLIAMSVILLE, NY 14221

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 Philip Niles's NPI number?

The NPI number for Philip Niles is 1609136126. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Where is Philip Niles located?

Philip Niles practices at 6480 Main St Suite 1, Williamsville, NY 14221. The listed phone number is (716) 631-3300.

What is Philip Niles's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Philip Niles enrolled in Medicare?

Yes. Philip Niles 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 Philip Niles accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Philip Niles 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 Philip Niles was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.