DR. ANTHONY S SPIRI DPM
NPI 1184680886
Podiatrist in Somerset, MA

Active since April 22, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
172 COUNTY ST, SOMERSET, MA 02726(508) 675-1401(508) 675-4877 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anthony S Spiri Dpm NPPES

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

DR. ANTHONY S SPIRI DPM (NPI 1184680886) is an individual podiatrist in Somerset, Massachusetts, licensed in Massachusetts (MA1929) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of William M. Scholl College Of Podiatric Medicine (1989).

NPPES Registry Identity

NPI1184680886
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. ANTHONY S SPIRICredential: DPM
Location Address172 COUNTY STSomerset, MA 02726
Mailing Address172 County StSomerset, MA 02726 · (508) 675-1401 · Fax (508) 675-4877
Fax(508) 675-4877
Sole ProprietorYes
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1989
Enumeration DateApril 22, 2006
Last NPPES UpdateAugust 2, 2011
NPI 1184680886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MA · MA1929
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.
172 COUNTY ST, Somerset, MA 02726

Other Identifiers 3

Medicare ID-Type UnspecifiedYY7117MA
Medicare UPINT95520
Medicaid0363081MA

Accepted 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. Anthony S Spiri Dpm 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 ID3678582483
PECOS Enrollment IDI20060406000060
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 12

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.

Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
2,619 services715 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
609 services182 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
582 services167 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.
188 services137 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
144 services51 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.
107 services107 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02726 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.01
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%388 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%208 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
100%208 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%891 patients5/55-star benchmark: 100%
Heel Pain Treatment Outcomes for Adults
88%32 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
78%610 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
66%460 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 625 patients
Patients screened: 100% · 63 patients
98%625 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Podiatrist
172 COUNTY ST
SOMERSET, MA 02726

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 Anthony Spiri's NPI number?

The NPI number for Anthony Spiri is 1184680886. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Anthony Spiri located?

Anthony Spiri practices at 172 County St, Somerset, MA 02726. The listed phone number is (508) 675-1401.

What is Anthony Spiri's specialty?

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

Is Anthony Spiri enrolled in Medicare?

Yes. Anthony Spiri 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 Anthony Spiri accept?

Health plans from Anthem Blue Cross and Blue Shield list Anthony Spiri 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 Anthony Spiri was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.