DR. PAUL JAMES SPICER MD
NPI 1063655660
Radiology - Diagnostic Radiology in Lexington, KY

Q: What is Paul Spicer's NPI number?

The NPI number for Paul Spicer is 1063655660. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Q: What is Paul Spicer's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Paul Spicer was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2009PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

UNIVERSITY OF KENTUCKY, 800 ROSE STREET, HX-311, LEXINGTON, KY 40536(859) 323-8570 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Paul James Spicer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL JAMES SPICER MD (NPI 1063655660) is an individual diagnostic radiology provider in Lexington, Kentucky, licensed in Kentucky (44180) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Meharry Medical College School Of Medicine (2004).

NPPES Registry Identity

NPI1063655660

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. PAUL JAMES SPICERCredential: MD

Location AddressUNIVERSITY OF KENTUCKY, 800 ROSE STREET, HX-311Lexington, KY 40536-0001

Mailing Address800 Rose St # Hx311cLexington, KY 40536-0293 · (859) 323-2954 · Fax (859) 257-4457

Phone(859) 323-8570

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 2004

Enumeration DateApril 13, 2009

Last NPPES UpdateJuly 31, 2014

✔ NPI 1063655660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in KY · 44180✔ Licensed in MI · 4301094401

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 44180 (KY)

UNIVERSITY OF KENTUCKY, Lexington, KY 40536

Open in Google Maps ↗

Other Identifiers 2

Medicaid7100147120KY

Medicare PINK000100KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul James Spicer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143373845

PECOS Enrollment IDI20110510000675

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Paul Spicer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kentucky Medical Services Foundation, Inc

3.3 mi

Internal Medicine

2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
1,502 clinicians in this Medicare group

NPI 1326091448 (859) 257-7910

Baptist Health Medical Group Inc

3.9 mi

Nurse Practitioner

4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
Also billed through NPI 1255805586 (Kentucky)
999 clinicians in this Medicare group

NPI 1518360296 (859) 260-4390

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

684 services684 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

684 services684 patients

Screening mammography 77067

351 services351 patients

Screening 3d breast mammography 77063

350 services350 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

204 services202 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

163 services156 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

100 services97 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

96 services96 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

32 services32 patients

Mri scan of both breasts 77049

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

31 services31 patients

Diagnostic mammography of 1 breast 77065

22 services19 patients

Limited ultrasound scan of 1 breast 76642

19 services19 patients

Mri scan of both breasts 77049

19 services19 patients

Diagnostic mammography of both breasts 77066

18 services18 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

17 services17 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

17 services15 patients

Placement of locating device in breast using x-ray with needle guidance, first growth 19283

This procedure involves placing a small marker in the breast using x-ray guidance and a needle. This marker helps to accurately identify the first growth for potential treatment. It's a minimally invasive procedure with a quick recovery time.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180080

LocationOne Trillium WayCorbin, KY 40701 · Whitley County

Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180138

Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDU ELIZABETH MATHEW MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536

Fayette County (859) 323-1786

DR. MEGAN HOFMEISTER M.D.

Preventive Medicine (Public Health & General Preventive Medicine)

UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536

Fayette County (859) 218-2100

DR. JEREMIAH PHELPS MD PHD

Emergency Medicine

UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6762

ASHLEY ROLLINS MD

Internal Medicine

UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536

Fayette County (859) 323-2636

DR. JANELLE LOUISE REED M.D./PH.D

Emergency Medicine

UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536

Fayette County (859) 323-5083

ANTHONY ZACHARIAS

Orthopaedic Surgery

UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536

Fayette County (859) 218-3044

LAURA H REYNOLDS M.D.

Psychiatry & Neurology (Psychiatry)

UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6021

DR. MATTHEW EDWARD SMITH M.D.

Emergency Medicine

UNIVERSITY OF KENTUCKY, 800 ROSE STREET M53
LEXINGTON, KY 40536

Fayette County (859) 323-5083

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Spicer's NPI number?

The NPI number for Paul Spicer is 1063655660. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Where is Paul Spicer located?

Paul Spicer practices at University Of Kentucky 800 Rose Street, Hx-311, Lexington, KY 40536. The listed phone number is (859) 323-8570.

What is Paul Spicer's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Paul Spicer enrolled in Medicare?

Yes. Paul Spicer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Paul Spicer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Spicer reassigns Medicare benefits to 2 organizations: Kentucky Medical Services Foundation, Inc (Lexington, KY) and Baptist Health Medical Group Inc (Lexington, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Spicer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Spicer accept?

Health plans from CareSource list Paul Spicer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Spicer affiliated with any hospitals?

According to CMS data, Paul Spicer is affiliated with Baptist Health Corbin, Norton Hospitals, Inc, Baptist Health Lexington and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Paul Spicer was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.