DR. ROBERT F SPIERA MD
NPI 1215031521
Internal Medicine - Rheumatology in New York, NY

Active since September 08, 2006Opted out of Medicare · through Aug 17, 2027
19.03/100
CMS Quality Rating
1088 PARK AVENUE, NEW YORK, NY 10128(212) 860-2100(212) 722-7365 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Robert F Spiera Md NPPES

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

DR. ROBERT F SPIERA MD (NPI 1215031521) is an individual rheumatology provider in New York, New York, licensed in New York (187240) and active in the NPI registry since September 2006. He has opted out of Medicare through August 17, 2027 and remains eligible to order and refer, is affiliated with Hospital For Special Surgery, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1215031521
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ROBERT F SPIERACredential: MD
Location Address1088 PARK AVENUENew York, NY 10128-1132
Mailing Address535 E 70th StNew York, NY 10021-4823 · (212) 774-2048 · Fax (212) 774-2358
Fax(212) 722-7365
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1989
Enumeration DateSeptember 8, 2006
Last NPPES UpdateApril 26, 2021
NPPES CertifiedApril 26, 2021
NPI 1215031521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NY · 187240
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1088 PARK AVENUE, New York, NY 10128

Secondary Practice Location 1

Location 1535 E 70th StNew York, NY 10021-4823 · Phone (212) 774-2048 · Fax (212) 774-2358

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Robert F Spiera Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 17, 2023 through August 17, 2027.

Opt-Out Effective DateAugust 17, 2023
Opt-Out In Effect ThroughAugust 17, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare

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

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

19.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost63.46

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Rheumatology)
1088 PARK AVENUE
NEW YORK, NY 10128
Internal Medicine (Rheumatology)
1088 PARK AVENUE
NEW YORK, NY 10128
Internal Medicine (Rheumatology)
1088 PARK AVENUE
NEW YORK, NY 10128

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 Robert Spiera's NPI number?

The NPI number for Robert Spiera is 1215031521. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Robert Spiera located?

Robert Spiera practices at 1088 Park Avenue, New York, NY 10128. The listed phone number is (212) 860-2100.

What is Robert Spiera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Robert Spiera enrolled in Medicare?

No. Robert Spiera has opted out of Medicare through August 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Is Robert Spiera affiliated with any hospitals?

According to CMS data, Robert Spiera is affiliated with Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Robert Spiera was last updated on April 26, 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.