How do I get to Aspen Spine & Pain Center?

Please visit our Contact page.

How can I find out more about Dr. Miles?

Please visit our About Physician page.

Can I fill out forms prior to my visit?

Please visit our Forms page.

How can I learn more about the procedure or treatment and what to expect?

Please visit our Patient Education page.

What can I expect during my appointment?

A patient’s first visit will be a consultation lasting from 45 minutes to an hour. During the examination, Dr. Miles will discuss the patient’s condition and determine a treatment plan should one be indicated.

Patients will receive a call to confirm their appointment one business day prior to their appointment. Should the patient be unavailable to answer the phone, a message will be left to confirm the appointment only if a message system is available, and identifies the patient’s name and/or phone number.

Patients who are late for appointment(s) and/or check-in time will be rescheduled.

Should an appointment need to be rescheduled or cancelled, please contact our office as soon as possible.

For a list of forms patients will need to have completed prior to their appointment, please click here.

What forms of payment is accepted? Can you bill my insurance? What if I don’t have insurance?

Aspen Spine and Pain Center participates with most major insurance companies. Co-payments and/or co-insurance payments are due at the time of service.

For private pay patients, accounts must be paid-in-full at the time of service. Cash, checks, and VISA/MasterCard are accepted. Patients will incur a $25 fee for any check returned to our bank as non-sufficient funds.

For patients that do not have insurance and are unable to pay-in-full at the time of service, please contact our office prior to an appointment to discuss a financial payment plan.

Should there be any further questions regarding billing and/or financial arrangements, please contact our Billing Office at: (775) 324-6312.

Which insurances do you accept?

Click here to view a list of contracted insurance companies.

Many times insurance companies allow you to be seen by out of network providers. You may be required to pay a higher co-payment and/or separate higher deductible.

Please contact our office to verify your insurance policy benefits.

How do I get an authorization from my insurance company for visits or treatments?

Our staff will handle authorizations (if applicable) and billing of your primary and secondary insurances.

What is physical medicine and rehabilitation?


Physical Medicine and Rehabilitation (PM&R), also called physiatry, is the branch of medicine emphasizing the prevention, diagnosis, and treatment of disorders – particularly related to the nerves, muscles, and bones – that may produce temporary or permanent impairment. PM&R is one of 24 medical specialties certified by the American Board of Medical Specialties. PM&R provides integrated care in the treatment of all conditions related to the brain, muscles, and bones, from traumatic brain injury to lower back pain.

What is a rehabilitation physician?

Rehabilitation physicians are nerve, muscle, and bone experts who treat injuries or illnesses that affect how you move. Rehabilitation physicians have completed training in the medical specialty physical medicine and rehabilitation (PM&R). They are sometimes referred to as PM&R physicians or Physiatrists. Rehabilitation physicians treat a wide range of problems from sore shoulders to spinal cord injuries. Their goal is to decrease pain and enhance performance without surgery.

How do rehabilitation physicians diagnose?

Rehabilitation physicians take the time needed to accurately pinpoint the source of an ailment. Their specific diagnostic tools are the same as those used by other physicians (medical histories, physical examinations, and imaging studies), with the addition of special techniques in electrodiagnostic medicine like electromyography (EMG) and nerve conduction studies. These techniques help the rehabilitation physician to diagnose conditions that cause pain, weakness, and numbness.

What is the rehabilitation physician’s role in treatment?

Once they have a diagnosis, rehabilitation physicians design a treatment plan that can be carried out by the patients themselves or with the help of the rehabilitation physician’s medical team. This interdisciplinary medical team may include medical professionals such as neurologists, psychiatrists, orthopedic surgeons, and non-physician health professionals such as physical therapists, occupational therapists, speech pathologists, vocational counselors, psychologists and social workers. The team is different for each patient, and the team’s composition changes during treatment to match the patient’s shifting needs. By providing an appropriate treatment plan, rehabilitation physicians help patients stay as active as possible at any age. Their broad medical expertise allows them to treat disabling conditions throughout a person’s lifetime.

What is the scope of the rehabilitation physician’s practice?

PM&R is often called the quality of life profession because its aim is to enhance patient performance. The job of a rehabilitation physician is to treat any disability resulting from disease or injury involving any organ system. The focus is not on one part of the body, but instead on the development of a comprehensive program for putting the pieces of a person’s life back together – medically, socially, emotionally, and vocationally – after injury or disease. The problems that rehabilitation physicians manage span the entire spectrum, from the most complicated multiple trauma to injury prevention for athletes. Some rehabilitation physicians have broad-based practices that encompass many different types of patients. Others pursue special interests and focus on specific groups or problems.

What kind of training do rehabilitation physicians have?

To become a rehabilitation physician, individuals must graduate from medical school followed by four additional years of postdoctoral training in a physical medicine and rehabilitation residency. This includes one year developing fundamental clinical skills and three additional years of training in the full scope of the specialty. There are currently 80 accredited residency programs in physical medicine and rehabilitation in the United States. Many rehabilitation physicians choose to pursue additional advanced degrees (MS, PhD) or complete fellowship training in a specific area of the specialty. To become board certified in physical medicine and rehabilitation, rehabilitation physicians are required to take both a written and oral examination administered by the American Board of Physical Medicine and Rehabilitation (ABPMR).

What is a Doctor of Osteopathic Medicine (D.O.)

If you’re like most people, you’ve been going to a physician ever since you were born and perhaps were not aware whether you were seeing a D.O. (osteopathic physician) or an M.D. (allopathic physician). You may not even be aware that there are two types of complete physicians in the United States.

The fact is that both D.O.s and M.D.s are fully qualified physicians licensed to prescribe medication and perform surgery. Is there any difference between these two kinds of physicians? Yes. And no.

D.O.s and M.D.s are alike in many ways:

  • Applicants to both D.O. and M.D. medical colleges typically have four-year undergraduate degrees with an emphasis on scientific courses.
  • Both D.O.s and M.D.s complete four years of basic medical education.
  • After medical school, both D.O.s and M.D.s obtain graduate medical education through such programs as internships and residencies. This training typically lasts three to six years and prepares D.O.s and M.D.s to practice a specialty.
  • Both D.O.s and M.D.s can choose to practice in any specialty area of medicine-such as pediatrics, family practice, psychiatry, surgery or obstetrics.
  • D.O.s and M.D.s must pass comparable examinations to obtain state licenses.
  • D.O.s and M.D.s both practice in fully accredited and licensed health care facilities.

Together, D.O.s and M.D.s enhance the state of health care available in America.

D.O.s, however, belong to a separate yet equal branch of American medical care. It is the ways that D.O.s and M.D.s are different that can bring an extra dimension to your family’s health care.

Today osteopathic physicians continue to be on the cutting edge of medicine. D.O.s are able to combine today’s medical technology with their ears, to listen caringly to their patients; their eyes, to see their patients as whole persons; and their hands, to diagnose and treat injury and illness.

D.O.s bring something extra to medicine:

  • Osteopathic medical schools emphasize training students to be primary care physicians.
  • D.O.s practice a “whole person” approach to medicine. Instead of just treating specific symptoms or illnesses, they regard your body as an integrated whole.
  • Osteopathic physicians focus on preventive health care.
  • D.O.s receive extra training in the musculoskeletal system-your body’s interconnected system of nerves, muscles and bones that make up two-thirds of your body mass. This training provides osteopathic physicians with a better understanding of the ways that an illness or injury in one part of your body can affect another.

Osteopathic manipulative treatment (OMT) is incorporated into the training and practice of osteopathic physicians. With OMT, osteopathic physicians use their hands to diagnose illness and injury and to encourage your body’s natural tendency toward good health. By combining all other available medical options with OMT, D.O.s offer their patients the most comprehensive care available in medicine today.