MR. MICHAEL ROBERT NIERAETH (PA) – Surgical Physician Assistant, NPI 1487904280
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for MR. MICHAEL ROBERT NIERAETH (PA)
8854 W EMERALD ST STE 102
BOISE, ID 837044845
Phone: (208) 323-4747
Fax: (208) 323-4848
Type: Mailing
320 Warner Dr
Lewiston, ID 835014441
Phone: (208) 743-3523
Fax: (208) 746-8741
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $726.
Total Amount is formed as General ($726) + Research ($0) + Ownership ($0) = $726.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($430).
Total Amount
$726
General + Research + Ownership
Payments
17
Total payment records
General Amount
$726
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $430 |
| Linvatec Corporation | $135 |
| Arthrex, Inc. | $98 |
| Steelhead Surgical Inc | $41 |
| Stryker Corporation | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130123000158 | I | Physician Assistant | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 455 | 46 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 139 | 97 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 93 | 74 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 56 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 47 | $0 |
Insurance plans in this area (ZIP 83704)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | ID | 27447 | Repair of knee joint | 21 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Orthopedic Surgery | ID | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Orthopedic Surgery | ID |
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