Doctor profile · Federal record

Dr. Lori Nieboer, P.A.-C

Medical Physician Assistant (CMS: Physician Assistant) · Medical Physician Assistant · Rockford, MI

  • NPI 1174810667
  • Accepts Medicare
  • 16 yrs in practice
  • Licensed in 2 states
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4685 Belding RD Ne
Rockford, MI 493419605
(616) 252-3100

Credentials & registration

NPPES · NUCC
NPI registered
July 2011 — 15 yrs on file
Profile last updated
February 2, 2023
Year of graduation
2010 — 16 yrs since
Specialty taxonomy
363AM0700X — NUCC code
State licenses (2)
Michigan #5601006254 · Georgia #006100

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1174810667. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
71
Distinct HCPCS
2
Medicare allowed
$4,111
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 38 35 $56
99214 Established patient office or other outpatient visit, 30-39 minutes 33 27 $60

In context: peer comparison

Among 2 peers in Rockford Medical Physician Assistant, average services per provider: 34. This provider delivers 2.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
224
Patients
113
Total drug cost
$3,686
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 43 20 $758
Amlodipine Besylate Generic 29 14 $236
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 24 20 $1,132
Levothyroxine Sodium Generic 24 0 $680
Azithromycin Generic 21 18 $86
Prednisone Generic 21 19 $57
Hydrochlorothiazide Generic 15 0 $61
Metformin Hcl Generic 13 11 $202
Losartan Potassium Generic 12 0 $253
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 11 11 $99

Frequently asked questions

Auto-generated from federal data
What is Dr. Lori Nieboer's medical specialty?
Dr. Lori Nieboer practices Medical Physician Assistant in Rockford, MI.
Where does Dr. Lori Nieboer practice?
Dr. Lori Nieboer practices at 4685 Belding RD Ne, Rockford, MI 493419605. Office phone: 6162523100.
What is Dr. Lori Nieboer's NPI?
Dr. Lori Nieboer's National Provider Identifier (NPI) is 1174810667, issued by NPPES.
Does Dr. Lori Nieboer accept Medicare assignment?
Yes. Dr. Lori Nieboer accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lori Nieboer commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.