Robert J. Niles, PAC
NPI 1639488406ActiveIndividual· Physician Assistant· Amery, WI
Physician Assistant (PAC) with Fairview Clinics and 1 other group, practicing in Amery, Wisconsin. 213 Medicare patients in 2024, $18,426 paid; nearly all of their 303 Part D prescriptions were generic (94%).
Overview
| NPI | 1639488406 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Sep 28, 2010 |
| Last updated in NPPES | Jun 27, 2022 |
| Certified by provider | Jun 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10827 | MN |
| Physician Assistant | 363A00000X | 2713-23 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 213 |
|---|---|
| Services billed | 452 across 54 procedure codes |
| Paid by Medicare | $18,426 |
Part D prescriptions in 2024
| Prescriptions (claims) | 303 · 319 30-day fills |
|---|---|
| Patients | 246 |
| Total drug cost | $3,870 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Fairview ClinicsEagan, MN · 782 clinicians
- North Memorial Health CareRobbinsdale, MN · 504 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Amery
- 1619619822
- 1700332210