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JEREMY PATRICK SPAULDING D.P.M.
NPI 1093988263
Podiatrist in Indianapolis, IN

Active since April 09, 2008PECOS EnrolledAccepts Medicare Assignment
83.71/100
CMS Quality Rating
8128 E WASHINGTON ST, INDIANAPOLIS, IN 46219(317) 898-7117(317) 897-2681 Get Directions Write a Review

NPPES record last updated: April 15, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeremy Patrick Spaulding D.p.m. NPPES

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

JEREMY PATRICK SPAULDING D.P.M. (NPI 1093988263) is an individual podiatrist in Indianapolis, Indiana, licensed in Indiana (07001115A) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (2008).

NPPES Registry Identity

NPI1093988263
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameJEREMY PATRICK SPAULDINGCredential: D.P.M.
Location Address8128 E WASHINGTON STIndianapolis, IN 46219-6814
Mailing Address3731 Guion Road, Suite CIndianapolis, IN 46222-7604 · (317) 931-0664 · Fax (317) 927-0924
Phone(317) 898-7117
Fax(317) 897-2681
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2008
Enumeration DateApril 9, 2008
Last NPPES UpdateApril 15, 2013
✔ NPI 1093988263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IN · 07001115A
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 07001115A (IN)
8128 E WASHINGTON ST, Indianapolis, IN 46219
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Other Identifiers 2

Medicaid201012250IN
Medicare PINM40046069IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jeremy Patrick Spaulding D.p.m. 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 ID1658557947
PECOS Enrollment IDI20110523000222
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 Reassignment

Medicare enrollment records show Jeremy Spaulding reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marion General Hospital
49 mi
Family Medicine
157 W 8TH ST
Fairmount, IN 46928
  • Reassigned Medicare billing, Indiana enrollment
  • 139 clinicians in this Medicare group
NPI 1154474542 (765) 660-7880

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 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,067 services398 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
199 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
175 services175 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
150 services21 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
99 services28 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
93 services38 patients

Hospital Affiliations CMS Care Compare

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

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46219 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

83.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.94
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims210 services$0.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

APEX PODIATRY, INC.
Podiatrist
8128 E WASHINGTON ST
INDIANAPOLIS, IN 46219
Marion County (317) 898-7117

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 Jeremy Spaulding's NPI number?

The NPI number for Jeremy Spaulding is 1093988263. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Jeremy Spaulding located?

Jeremy Spaulding practices at 8128 E Washington St, Indianapolis, IN 46219. The listed phone number is (317) 898-7117.

What is Jeremy Spaulding's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Jeremy Spaulding enrolled in Medicare?

Yes. Jeremy Spaulding 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 organization bills Medicare for Jeremy Spaulding's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Spaulding reassigns Medicare benefits to Marion General Hospital (Fairmount, IN). The 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 Jeremy Spaulding's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Spaulding accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jeremy Spaulding 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 Jeremy Spaulding affiliated with any hospitals?

According to CMS data, Jeremy Spaulding is affiliated with Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Jeremy Spaulding was last updated on April 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.