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THOMAS SPIRO M.D.
NPI 1215955455
Internal Medicine in Saint Louis, MO

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
1035 BELLEVUE AVE, SUITE 305, SAINT LOUIS, MO 63117(314) 925-4700(314) 925-4750 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas Spiro M.d. NPPES

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

THOMAS SPIRO M.D. (NPI 1215955455) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (MDR4E45) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1983).

NPPES Registry Identity

NPI1215955455
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS SPIROCredential: M.D.
Location Address1035 BELLEVUE AVE, SUITE 305Saint Louis, MO 63117-1854
Mailing Address10777 Sunset Office Dr, Suite 310Saint Louis, MO 63127-1019 · (314) 822-5900 · Fax (314) 822-5919
Phone(314) 925-4700
Fax(314) 925-4750
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1983
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 17, 2010
✔ NPI 1215955455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · MDR4E45
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1035 BELLEVUE AVE, Saint Louis, MO 63117
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN003012313MO
Medicare UPINA10437
Medicaid202071619MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Spiro 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 ID4284713413
PECOS Enrollment IDI20080429000909
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Spiro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Current Care Of Kansas PA
8.9 mi
Urgent Care
83 PROGRESS PKWY
Maryland Heights, MO 63043
  • Reassigned Medicare billing, Missouri enrollment
  • 33 clinicians in this Medicare group
NPI 1922404052 (314) 434-8174
Ssm Medical Group, Inc.
11 mi
Multi-Specialty
1011 BOWLES AVE, SUITE 300
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group
NPI 1700966207 (636) 496-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 20

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

MRS. JUDITH ANN DIETZLER RPH
Pharmacist
1035 BELLEVUE AVE, CLAYTON HEALTH SERVICES PHARMACY
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8870
SSM HEALTH CARE ST LOUIS
Pharmacy (Community/Retail Pharmacy)
1035 BELLEVUE AVE
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8870
SSM MEDICAL GROUP
Clinic/Center
1035 BELLEVUE AVE, SUITE 305
SAINT LOUIS, MO 63117
St. Louis County (314) 644-6161
GENERATIONS FAMILY MEDICINE PC
Family Medicine
1035 BELLEVUE AVE, SUITE 206
ST LOUIS, MO 63117
St. Louis County (314) 781-4922
WELLNESS HEALTHCARE ASSOCIATES, INC
Family Medicine
1035 BELLEVUE AVE, STE 401
SAINT LOUIS, MO 63117
St. Louis County (314) 781-0361
SSM MEDICAL GROUP
Clinic/Center
1035 BELLEVUE AVE, SUITE 502
SAINT LOUIS, MO 63117
St. Louis County (314) 638-3600
SSM MEDICAL GROUP
Clinic/Center (Medical Specialty)
1035 BELLEVUE AVE, SUITE 500
SAINT LOUIS, MO 63117
St. Louis County (314) 647-1115
DAVID ALAN WACHTER RPH
Pharmacist
1035 BELLEVUE AVE
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8870

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 Thomas Spiro's NPI number?

The NPI number for Thomas Spiro is 1215955455. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Thomas Spiro located?

Thomas Spiro practices at 1035 Bellevue Ave Suite 305, Saint Louis, MO 63117. The listed phone number is (314) 925-4700.

What is Thomas Spiro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Spiro enrolled in Medicare?

Yes. Thomas Spiro 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.

Which organizations bill Medicare for Thomas Spiro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Spiro reassigns Medicare benefits to 2 organizations: American Current Care Of Kansas PA (Maryland Heights, MO) and Ssm Medical Group, Inc. (Fenton, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Spiro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Spiro accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Thomas Spiro 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 Thomas Spiro was last updated on September 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.