LUKE MICHAEL SPELLMAN D.O.
NPI 1215917331
Pediatrics - Sports Medicine in Cedar Rapids, IA
NPI Status: Active since January 17, 2006
Contact Information
855 A AVE NE STE 300
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 368-9300
Fax: (319) 368-5690
- Individual
- Male
- Pediatrics
- Sports Medicine
- Accepts Insurance
- PECOS Enrolled
About LUKE SPELLMAN
This page provides the complete NPI Profile along with additional information for Luke Spellman, a pediatrician established in Cedar Rapids, Iowa with a medical specialization in Pediatrics, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1215917331 assigned on January 2006. The practitioner's primary taxonomy code is 2080S0010X with license number 3875 (IA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1215917331
- Provider Name
- LUKE MICHAEL SPELLMAN D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 855 A AVE NE STE 300 CEDAR RAPIDS, IA 52402
- Location Phone
- (319) 368-9300
- Location Fax
- (319) 368-5690
- Mailing Address
- 855 A AVE NE STE 300 CEDAR RAPIDS, IA 52402
- Mailing Phone
- (319) 368-9300
- Mailing Fax
- (319) 368-5690
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-17-2006
- Last Update Date
- 04-19-2019
- Code Navigator
A pediatrician like Luke Spellman is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Sports Medicine
- Taxonomy Code
- 2080S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 3875
- License State
- IA
- Taxonomy Description
- A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Inspire by Medica Bronze $0 Copay PCP Visits - EPO
- Inspire by Medica Bronze Share - EPO
- Inspire by Medica Expanded Bronze Standard - EPO
- Inspire by Medica Gold $0 Copay PCP Visits - EPO
- Inspire by Medica Gold Share - EPO
- Inspire by Medica Gold Standard - EPO
- Inspire by Medica Silver $0 Copay PCP Visits - EPO
- Inspire by Medica Silver Share - EPO
- Inspire by Medica Silver Standard - EPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Luke Spellman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215917331, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
CEDAR RAPIDS, IA 52402
CEDAR RAPIDS, IA 52402
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215917331, enumerated as an "individual" on January 17, 2006.
The provider is located at 855 A AVE NE STE 300 CEDAR RAPIDS, IA 52402 and the phone number is (319) 368-9300.
Pediatrics with taxonomy code 2080S0010X and a focus in Sports Medicine.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
