MATTHEW SPANIER MD
NPI 1225425432
Emergency Medicine in Duluth, MN

Q: What is Matthew Spanier's NPI number?

The NPI number for Matthew Spanier is 1225425432. It was assigned to this individual provider in the NPPES registry on April 26, 2015.

Q: What is Matthew Spanier's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Spanier was last updated on December 4, 2020. 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.

Active since April 26, 2015PECOS EnrolledAccepts Medicare Assignment

1012 E 2ND ST, DULUTH, MN 55805(218) 249-5555 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2020, Apr 14, 2020, Sep 28, 2018 (3 updates tracked since 2018).

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About Matthew Spanier Md NPPES

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

MATTHEW SPANIER MD (NPI 1225425432) is an individual emergency medicine provider in Duluth, Minnesota, licensed in Minnesota (63772) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225425432

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMATTHEW SPANIERCredential: MD

Location Address1012 E 2ND STDuluth, MN 55805-2200

Mailing Address915 E 1st StDuluth, MN 55805-2107 · (218) 249-5555

Phone(218) 249-5555

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2015

Enumeration DateApril 26, 2015

Last NPPES UpdateDecember 4, 20203 updates tracked since enumeration

NPPES CertifiedAugust 24, 2020

✔ NPI 1225425432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MN · 63772

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1012 E 2ND ST, Duluth, MN 55805

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Secondary Practice Locations 2

Location 1915 E 1st StDuluth, MN 55805-2107 · Phone (218) 249-5555

Location 2600 Pleasant Ave SPark Rapids, MN 56470-1431 · Phone (218) 732-3311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Matthew Spanier Md 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 ID2769799261

PECOS Enrollment IDI20181030001559, I20200930003530

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

65 services41 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

29 services29 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

22 services11 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

21 services21 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241308

Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County

Emergency services

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520091

Location240 Maple StWoodruff, WI 54568 · Vilas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

ST. LUKE'S HOSPITAL OF DULUTH

Emergency Medicine