JOHN D MILES M.D.
NPI 1710970306
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Columbia, MO

Q: What is John Miles's NPI number?

The NPI number for John Miles is 1710970306. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Q: What is John Miles's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for John Miles was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment

84.75/100

CMS Quality Rating

1 S KEENE ST, COLUMBIA, MO 65201(573) 443-2402(573) 443-0574 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About John D Miles M.d. NPPES

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

JOHN D MILES M.D. (NPI 1710970306) is an individual orthopaedic surgery of the spine provider in Columbia, Missouri, licensed in Missouri (106454) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of University Of Missouri, Columbia School Of Medicine (1994).

NPPES Registry Identity

NPI1710970306

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameJOHN D MILESCredential: M.D.

Location Address1 S KEENE STColumbia, MO 65201-7199

Mailing Address1 S Keene StColumbia, MO 65201-7199 · (573) 443-2402 · Fax (573) 443-0574

Phone(573) 443-2402

Fax(573) 443-0574

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1994

Enumeration DateAugust 30, 2005

Last NPPES UpdateMarch 23, 2021

NPPES CertifiedMarch 23, 2021

✔ NPI 1710970306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in MO · 106454

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

1 S KEENE ST, Columbia, MO 65201

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Other Identifiers 1

Medicaid205202302MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

John D 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 ID1052409505

PECOS Enrollment IDI20100714000856

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 Reassignment

Medicare enrollment records show John Miles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Columbia Orthopaedic Group, LLP

Same address

Orthopaedic Surgery

1 S KEENE ST
Columbia, MO 65201

Reassigned Medicare billing, Missouri enrollment
110 clinicians in this Medicare group

NPI 1851392542 (573) 443-2402

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 18

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.

355 services248 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.

272 services204 patients

X-ray lower and sacral spine, 2-3 views bending views 72120

This procedure involves taking X-ray images of your lower and sacral spine in 2-3 different angles while you bend. It helps in assessing spinal flexibility and identifying any abnormalities or injuries. It's safe, quick, and usually painless.

240 services221 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

90 services90 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.

82 services82 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

66 services61 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

53 services37 patients

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.

53 services53 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

52 services42 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

29 services29 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

27 services27 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

26 services26 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

25 services24 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

25 services25 patients

Insertion of artificial upper spine disc, anterior approach 22856

The insertion of an artificial upper spine disc, anterior approach, is a surgical procedure to replace a damaged or diseased disc in the upper spine. Through an incision in the front of the neck, the surgeon removes the problematic disc and inserts an artificial one to restore normal spine function.

20 services20 patients

Insertion of artificial upper spine disc anterior approach 22858

The procedure involves replacing a damaged or degenerated disc in the upper spine with an artificial one through an anterior (frontal) approach. It aims to alleviate pain and restore normal function and movement in the spine.

14 services14 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

12 services12 patients

Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc 63030

This procedure involves partially removing a spine bone, which may help to alleviate pressure on the lower spinal cord or nerves. It can also include disc removal. This can reduce pain and improve mobility. It's a common treatment for certain back conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260009

Location601 E 14th StSedalia, MO 65302 · Pettis County

Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260068

Location1600 E BroadwayColumbia, MO 65201 · Boone County

Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number260141

LocationOne Hospital DriveColumbia, MO 65212 · Boone County

Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260186

Location54 Hospital DriveOsage Beach, MO 65065 · Camden County

Emergency services Birthing friendly

Carroll County Memorial Hospital

Critical Access Hospitals · Carrollton, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261332

Location1502 North JeffersonCarrollton, MO 64633 · Carroll County

Emergency services

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.

84.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

76.68

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

95%2,736 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

Patients 1: 6% · 1,290 patients

6%1,290 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

1%465 patients1/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

3%62 patients1/55-star benchmark: 96%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%2,776 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

96%1,278 patients4/55-star benchmark: 99%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

99%1,245 patients5/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 25% · 664 patients

28%664 patients

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

Patients 1: 80% · 1,278 patients

80%1,278 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

42%115 patients2/55-star benchmark: 98%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

Patients 1: 7% · 1,278 patients

7%1,278 patients1/55-star benchmark: 99%

Send a Summary of Care

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…

3%62 patients1/55-star benchmark: 99%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 426 patients

0%426 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$185.34 avg. paid by Medicare

Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642

DME-Orthotic Devices · category DF007N

1 supplier27 claims27 services$273.84 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ISAAC DODSON

Physician Assistant

1 S KEENE ST
COLUMBIA, MO 65201

Boone County (573) 443-2402

RANDAL R TRECHA M.D.

Orthopaedic Surgery

1 S KEENE ST
COLUMBIA, MO 65201

Boone County (573) 443-2402

TRISTON DALE BROWNFIELD R.PH.

Pharmacist

1 S KEENE ST
COLUMBIA, MO 65201

Boone County (573) 876-8410

DR. CHRISTOPHER D. FARMER M.D.

Family Medicine (Sports Medicine)

1 S KEENE ST
COLUMBIA, MO 65201

Boone County (573) 443-2402

COURTNEY LYNN KESSLER PA-C

Physician Assistant

1 S KEENE ST
COLUMBIA, MO 65201

Boone County (573) 443-2402

MS. NICHOLE E ADAMS MED, ATC, LAT, OTC

Specialist/Technologist (Athletic Trainer)

1 S KEENE ST, COLUMBIA ORTHOPEDIC GROUP
COLUMBIA, MO 65201

Boone County (573) 443-2402

DR. ABRAM JOHN ELSENRAAT M.D

Pain Medicine (Interventional Pain Medicine)

1 S KEENE ST
COLUMBIA, MO 65201

Boone County (573) 443-2402

ALAINA R DURK FNP

Nurse Practitioner (Family)

1 S KEENE ST
COLUMBIA, MO 65201

Boone County (573) 443-2402

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 Miles's NPI number?

The NPI number for John Miles is 1710970306. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is John Miles located?

John Miles practices at 1 S Keene St, Columbia, MO 65201. The listed phone number is (573) 443-2402.

What is John Miles's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is John Miles enrolled in Medicare?

Yes. John 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 organization bills Medicare for John Miles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Miles reassigns Medicare benefits to Columbia Orthopaedic Group, LLP (Columbia, MO). The 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 John Miles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Miles accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list John 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 John Miles affiliated with any hospitals?

According to CMS data, John Miles is affiliated with Bothwell Regional Health Center, Boone Hospital Center, University Of Missouri Health Care, Lake Regional Health System and Carroll County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Miles was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.