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BARBARA SPEELHOFFER CRNP
NPI 1215242995
Nurse Practitioner - Family in Royersford, PA

Active since August 18, 2010PECOS EnrolledAccepts Medicare Assignment
94.74/100
CMS Quality Rating
296 W RIDGE PIKE, ROYERSFORD, PA 19468(484) 961-8833 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Oct 4, 2023 (2 updates tracked since 2023).

About Barbara Speelhoffer Crnp NPPES

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

BARBARA SPEELHOFFER CRNP (NPI 1215242995) is an individual family provider in Royersford, Pennsylvania, licensed in Pennsylvania (SP010928) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1215242995
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBARBARA SPEELHOFFERCredential: CRNP
Location Address296 W RIDGE PIKERoyersford, PA 19468-1790
Mailing Address296 W Ridge PikeRoyersford, PA 19468-1790
Phone(484) 961-8833
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 18, 2010
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1215242995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP010928
296 W RIDGE PIKE, Royersford, PA 19468
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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

Barbara Speelhoffer Crnp 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 ID2961691043
PECOS Enrollment IDI20110105000097
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.
462 services399 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.
57 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
51 services48 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.
32 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19468 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

94.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.58
Promoting Interoperability98
Improvement Activities40
Cost85.55

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
33%270 patients2/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
27%48 patients1/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 28 patients
100%33 patients
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 6

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

JADA DANAE BURT
Counselor (Professional)
296 W RIDGE PIKE
ROYERSFORD, PA 19468
Montgomery County (484) 706-9465
JEANINE WEICHELT BCBA
Behavior Analyst
296 W RIDGE PIKE, SUITE 205
LIMERICK, PA 19468
Montgomery County (610) 831-1865
DEMETRIUS E BRAVIDIS MD
Internal Medicine (Cardiovascular Disease)
296 W RIDGE PIKE
LIMERICK, PA 19468
Montgomery County (484) 961-8833
LISA ESPOSTO BCBA
Behavior Analyst
296 W RIDGE PIKE
LIMERICK, PA 19468
Montgomery County (270) 777-9283
RIYA ANNIE RAJU
Social Worker
296 W RIDGE PIKE
ROYERSFORD, PA 19468
Montgomery County (484) 706-9465
JOHNTRANNIE
Home Health
296 W RIDGE PIKE, SUITE 206
LIMERICK, PA 19468
Montgomery County (610) 340-2910

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 Barbara Speelhoffer's NPI number?

The NPI number for Barbara Speelhoffer is 1215242995. It was assigned to this individual provider in the NPPES registry on August 18, 2010.

Where is Barbara Speelhoffer located?

Barbara Speelhoffer practices at 296 W Ridge Pike, Royersford, PA 19468. The listed phone number is (484) 961-8833.

What is Barbara Speelhoffer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Barbara Speelhoffer enrolled in Medicare?

Yes. Barbara Speelhoffer 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.

Is Barbara Speelhoffer affiliated with any hospitals?

According to CMS data, Barbara Speelhoffer is affiliated with Pottstown Hospital and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Barbara Speelhoffer was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.