NPPES file of Aug 9, 2026

Philip Isaac Niles, MD

Retina Specialist (Ophthalmology) Physician · Williamsville, NY

Philip Isaac Niles, MD is a retina specialist (ophthalmology) physician with a practice address in Williamsville, New York, and NPI 1609136126, issued on May 17, 2012. Check the license (New York 2861401, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1609136126
Name
Philip Isaac Niles
Credential
MD
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License number
2861401 NY
Self-reported in NPPES; status is on the state search
Practice location
6480 Main St, Williamsville, NY 14221
Phone
(716) 631-3300
Enumerated
May 17, 2012
Record last updated
Apr 17, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(716) 631-3303
Medicare enrollment
Enrolled (PECOS I20170517000522); accepts Medicare assignment
Medical or professional school
Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, 2012
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 6480 Main St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Umberto Albanese, M.D.Specialist1902862782
  2. Martin Boscarino, M.D.Ophthalmology Physician1902850522
  3. Jeffrey Brody, D.D.S.General Practice Dentistry1184833758
  4. Diane Cirasunda-Slawinowski, DDSDentist1720202328

Verify Philip Isaac Niles in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 2861401
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

30% more Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

809 Medicare Part D claims for 225 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 50% of claims.

  1. Philip Niles809
  2. Specialty average620

Most prescribed

  1. Prednisolone Acetate361 claims
  2. Moxifloxacin139 claims
  3. Ketorolac Tromethamine111 claims
  4. Atropine Sulfate39 claims
  5. Dorzolamide-Timolol32 claims
  6. Brimonidine Tartrate24 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 72.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score93.3
  2. Costout of 100 · 30%24.4
  3. Promoting interoperabilityout of 100 · 25%88.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $6,706.78

14 payments; by number, the most common kind was food and beverage; the largest payer was Regeneron Healthcare Solutions, Inc. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Philip Niles$6,706.78
  2. Specialty average$7,667.49

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Ophthalmic Consultants OF Long IslandWilliamsville, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Philip Isaac Niles among 102 retina specialist (ophthalmology) physician records in New York

Philip Isaac Niles, MD is one of 102 retina specialist (ophthalmology) physician records with a practice address in New York. over 99% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 63% of them.

  • NPI issued2012 · 63% of these records are older, 29% newer
  • In a Medicare fileYes · over 99% of these records are
  • In the CMS Doctors and Clinicians fileYes · 96% of these records are
  • Graduated2012 · median 2004 among the 98 with a school on file
  • Record last updated2020 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in New York

There are 102 retina specialist (ophthalmology) physician records in New York.

The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes

  1. Dilip Patel, M.D.Buffalo, NY 142251437177425
  2. Ik-Sung Kwon, M.D.Warsaw, NY 145691366468035
  3. Michael Ryan, M.D.Webster, NY 145801639566003
  4. David Sperber, MDVestal, NY 138501063561744
  5. Brian Connolly, MDRochester, NY 146201164401741
  6. Edward Hall, MDRochester, NY 146201922029503
  7. Steven Rose, MDRochester, NY 146201174502652
  8. Matthew Witmer, MDRochester, NY 146201235321167

Common questions

What is Philip Isaac Niles, MD's NPI number?

Philip Isaac Niles, MD's National Provider Identifier (NPI) is 1609136126, issued on May 17, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Philip Isaac Niles, MD located?

The NPPES record lists a practice address at 6480 Main St, Williamsville, NY, 14221. Phone: (716) 631-3300. Providers update this record themselves, so call before visiting.

How can I verify Philip Isaac Niles, MD's license?

NPPES lists New York license number 2861401, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Philip Isaac Niles, MD prescribe under Medicare Part D?

In 2024, Philip Isaac Niles, MD had 809 Medicare Part D claims for 225 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

What is Philip Isaac Niles, MD's MIPS final score?

The 2023 MIPS final score is 72.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.