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MARK SPAW M.D.
NPI 1184165805
Otolaryngology in Joplin, MO

Active since March 14, 2017PECOS EnrolledAccepts Medicare Assignment
1920 E 32ND ST, JOPLIN, MO 64804(417) 781-4613(417) 781-0805 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2026, Sep 19, 2022, Oct 4, 2021 and 1 more (4 updates tracked since 2017).

About Mark Spaw M.d. NPPES

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

MARK SPAW M.D. (NPI 1184165805) is an individual otolaryngology provider in Joplin, Missouri, licensed in Missouri (2025039094) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Freeman Health System - Freeman West, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2016).

NPPES Registry Identity

NPI1184165805
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMARK SPAWCredential: M.D.
Location Address1920 E 32ND STJoplin, MO 64804-4103
Mailing Address1920 E 32nd StJoplin, MO 64804-4103 · (417) 781-4613 · Fax (417) 781-0805
Phone(417) 781-4613
Fax(417) 781-0805
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2016
Enumeration DateMarch 14, 2017
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1184165805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in MO · 2025039094✔ Licensed in HI · MD-20206✔ Licensed in GA · 105017
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1920 E 32ND ST, Joplin, MO 64804
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, 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

Mark Spaw M.d. 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 ID5799254389
PECOS Enrollment IDI20260513000278
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 Mark Spaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Otolaryngology Of Joplin
Same address
Clinic/Center
1920 E. 32ND ST.
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1568642452 (417) 781-4613

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

Hospital Affiliations CMS Care Compare

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

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 2

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

DR. SUZANNE S LONG AU.D.
Audiologist
1920 E 32ND ST
JOPLIN, MO 64804
Newton County (417) 781-4613
DR. RENEE A WALKER DO
Otolaryngology (Pediatric Otolaryngology)
1920 E 32ND ST
JOPLIN, MO 64804
Newton County (417) 781-4613

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 Mark Spaw's NPI number?

The NPI number for Mark Spaw is 1184165805. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Where is Mark Spaw located?

Mark Spaw practices at 1920 E 32nd St, Joplin, MO 64804. The listed phone number is (417) 781-4613.

What is Mark Spaw's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Spaw enrolled in Medicare?

Yes. Mark Spaw 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 Mark Spaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Spaw reassigns Medicare benefits to Otolaryngology Of Joplin (Joplin, MO). 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 Mark Spaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Spaw accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mark Spaw 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 Mark Spaw affiliated with any hospitals?

According to CMS data, Mark Spaw is affiliated with Freeman Health System - Freeman West.

When was this NPI record last updated?

The NPPES record for Mark Spaw was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.