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CRAIG W SPELLMAN DO
NPI 1174587935
Internal Medicine - Endocrinology, Diabetes & Metabolism in Odessa, TX

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
701 W 5TH ST, ODESSA, TX 79763(432) 703-5379(432) 703-5972 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Craig W Spellman Do NPPES

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

CRAIG W SPELLMAN DO (NPI 1174587935) is an individual endocrinology, diabetes & metabolism provider in Odessa, Texas, licensed in Texas (J2351) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Medical Center Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1174587935
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameCRAIG W SPELLMANCredential: DO
Location Address701 W 5TH STOdessa, TX 79763-4206
Mailing Address701 W 5th StOdessa, TX 79763-4206 · (432) 703-5379 · Fax (432) 703-5972
Phone(432) 703-5379
Fax(432) 703-5972
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateApril 17, 2006
Last NPPES UpdateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
✔ NPI 1174587935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · J2351
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License J2351 (TX)
701 W 5TH ST, Odessa, TX 79763
Open in Google Maps ↗

Other Identifiers 1

Medicaid125474003TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Craig W Spellman Do 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 ID8729172168
PECOS Enrollment IDI20070917000382
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.

Areas of Expertise CMS Part B claims 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
208 services135 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
130 services87 patients
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.
45 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Medical Center Hospital

Acute Care Hospitals · Odessa, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450132
Location500 W 4th StreetOdessa, TX 79761 · Ector County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79763 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers41 claims152 services$6.33 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers12 claims12 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers22 claims56 services$1.18 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers53 claims53 services$180.52 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 20

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

ADETOMIWA OGUNDERE M.D.
Internal Medicine
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5375
DR. CARLOS NIETO JR. M.D.
Pediatrics (Pediatric Critical Care Medicine)
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 335-1500
AMOGE CHINENYE OPARA MD
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
DR. STEPHANIE VILLARREAL M.D.
Pediatrics
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 335-2222
MERIDITH LYNN BUZBEE
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5083
CARINA ROSE GOODART
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
CHUKWUDIKE GREAT NNAJI
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
LUTFOR NESSA MD, MPH
Internal Medicine
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5375

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 Craig Spellman's NPI number?

The NPI number for Craig Spellman is 1174587935. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Craig Spellman located?

Craig Spellman practices at 701 W 5th St, Odessa, TX 79763. The listed phone number is (432) 703-5379.

What is Craig Spellman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Craig Spellman enrolled in Medicare?

Yes. Craig Spellman 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.

What insurance does Craig Spellman accept?

Health plans from Blue Cross and Blue Shield of Texas list Craig Spellman 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 Craig Spellman affiliated with any hospitals?

According to CMS data, Craig Spellman is affiliated with Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Craig Spellman was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.