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DR. SHARI J SPITZER M.D.
NPI 1184629198
Family Medicine in Kaufman, TX

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2226 COUNTY ROAD 4106, KAUFMAN, TX 75142(972) 932-7599 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shari J Spitzer M.d. NPPES

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

DR. SHARI J SPITZER M.D. (NPI 1184629198) is an individual family medicine provider in Kaufman, Texas, licensed in Texas (J9896) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (1994).

NPPES Registry Identity

NPI1184629198
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHARI J SPITZERCredential: M.D.
Location Address2226 COUNTY ROAD 4106Kaufman, TX 75142-6148
Mailing Address2226 County Road 4106Kaufman, TX 75142-6148 · (972) 932-7599
Phone(972) 932-7599
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1994
Enumeration DateJune 16, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1184629198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J9896
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2226 COUNTY ROAD 4106, Kaufman, TX 75142
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Other Identifiers 3

Medicare ID-Type Unspecified86230KTX · Medicare
Other86230KTX · Bcbs
Medicare UPING22908TX

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

Dr. Shari J Spitzer 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 ID3072601897
PECOS Enrollment IDI20071113000142
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
66 services39 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.
32 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75142 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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 Shari Spitzer's NPI number?

The NPI number for Shari Spitzer is 1184629198. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Shari Spitzer located?

Shari Spitzer practices at 2226 County Road 4106, Kaufman, TX 75142. The listed phone number is (972) 932-7599.

What is Shari Spitzer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shari Spitzer enrolled in Medicare?

Yes. Shari Spitzer 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 Shari Spitzer accept?

Health plans from Blue Cross and Blue Shield of Texas list Shari Spitzer 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.

When was this NPI record last updated?

The NPPES record for Shari Spitzer was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.