JAMES LEE SPACKMAN MD
NPI 1235203977
Internal Medicine in Burley, ID

Q: What is James Spackman's NPI number?

The NPI number for James Spackman is 1235203977. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is James Spackman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Spackman was last updated on October 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 17, 2006PECOS Enrolled

1501 HILAND AVE, BURLEY, ID 83318(208) 678-4444 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James Lee Spackman Md NPPES

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

JAMES LEE SPACKMAN MD (NPI 1235203977) is an individual internal medicine provider in Burley, Idaho, licensed in Idaho (M-7727) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235203977

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAMES LEE SPACKMANCredential: MD

Location Address1501 HILAND AVEBurley, ID 83318-2682

Mailing Address1501 Hiland AveBurley, ID 83318-2682 · (208) 678-4444

Phone(208) 678-4444

Sole ProprietorNo

Enumeration DateNovember 17, 2006

Last NPPES UpdateOctober 1, 2021

NPPES CertifiedOctober 1, 2021

✔ NPI 1235203977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ID · M-7727

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.

1501 HILAND AVE, Burley, ID 83318

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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 (PECOS)

James Lee Spackman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83318 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$4.35 avg. paid by Medicare

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419

DME-Orthotic Devices · category DF010N

1 supplier12 claims720 services$1.61 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$18.08 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier20 claims20 services$112.37 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

TENNILLE IRENE HOUSTON MHE, RD, LD, CDE

Dietitian, Registered

1501 HILAND AVE, CASSIA REGIONAL MEDICAL CENTER
BURLEY, ID 83318

Cassia County (208) 677-6587

JENNIFER RAAE-NIELSEN MD

Emergency Medicine