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DR. LORI SPOOZAK M.D.
NPI 1255595534
Obstetrics & Gynecology - Gynecology in Kansas City, KS

Active since July 15, 2008PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
3901 RAINBOW BLVD., UNIVERSITY OF KANSAS MEDICAL CENTER, KANSAS CITY, KS 66160(212) 305-2323 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2017, Oct 25, 2016 (2 updates tracked since 2016).

About Dr. Lori Spoozak M.d. NPPES

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

DR. LORI SPOOZAK M.D. (NPI 1255595534) is an individual gynecology provider in Kansas City, Kansas, licensed in Kansas (04-38932) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and is a graduate of Yale University School Of Medicine (2008).

NPPES Registry Identity

NPI1255595534
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. LORI SPOOZAKCredential: M.D.
Location Address3901 RAINBOW BLVD., UNIVERSITY OF KANSAS MEDICAL CENTERKansas City, KS 66160
Mailing Address3901 Rainbow Blvd., University Of Kansas Medical CenterKansas City, KS 66160 · (913) 588-5000 · Fax (913) 588-6271
Phone(212) 305-2323
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2008
Enumeration DateJuly 15, 2008
Last NPPES UpdateJanuary 9, 20172 updates tracked since enumeration
✔ NPI 1255595534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in KS · 04-38932
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 04-38932 (KS)
3901 RAINBOW BLVD., Kansas City, KS 66160
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Dr. Lori Spoozak 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 ID7517251176
PECOS Enrollment IDI20160804002683, I20190402000825
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 Lori Spoozak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kansas University Physicians Inc
0.2 mi
Obstetrics & Gynecology
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 2,139 clinicians in this Medicare group
NPI 1053457978 (913) 588-1227
University Of Kansas Hospital Authority
0.2 mi
Multi-Specialty
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas enrollment
  • 323 clinicians in this Medicare group
NPI 1528019502 (913) 588-1227

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

Areas of Expertise CMS Part B claims 10

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.
91 services78 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
65 services45 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
48 services48 patients
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.
24 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services14 patients

Hospital Affiliations CMS Care Compare 4

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

2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170016
Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County
Emergency services Birthing friendly

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Stormont Vail Hospital

Acute Care Hospitals · Topeka, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170086
Location1500 SW 10th AvenueTopeka, KS 66604 · Shawnee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

MONICA F KURYLO PH.D.
Psychologist (Clinical)
3901 RAINBOW BLVD.
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6400
G. W. ATKINSON M.D.
Internal Medicine
3901 RAINBOW BLVD., DEPT OF INTERNAL MED
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6000
CHARESE ERIN DONOVAN DAKHIL MD
Anesthesiology
3901 RAINBOW BLVD., MS 1034
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6670
DR. J. BRANTLEY THRASHER MD
Urology
3901 RAINBOW BLVD., DEPT. OF UROLOGY, MAIL STOP 3016
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6152
DR. JOHN W WEIGEL MD
Urology
3901 RAINBOW BLVD., DEPT. OF UROLOGY, MAIL STOP 3016
KANSAS CITY, KS 66160
Wyandotte County (913) 588-0799
DR. JEFFREY M HOLZBEIERLEIN MD
Urology
3901 RAINBOW BLVD., DEPT. OF UROLOGY, MAIL STOP 3016
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6147
DR. TOMAS L GRIEBLING MD
Urology
3901 RAINBOW BLVD., DEPT. OF UROLOGY, MAIL STOP 3016
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6147
JENNIFER K SURPRISE ARNP
Clinical Nurse Specialist (Adult Health)
3901 RAINBOW BLVD.
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6400

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 Lori Spoozak's NPI number?

The NPI number for Lori Spoozak is 1255595534. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Lori Spoozak located?

Lori Spoozak practices at 3901 Rainbow Blvd. University Of Kansas Medical Center, Kansas City, KS 66160. The listed phone number is (212) 305-2323.

What is Lori Spoozak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Lori Spoozak enrolled in Medicare?

Yes. Lori Spoozak 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 Lori Spoozak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Spoozak reassigns Medicare benefits to 2 organizations: Kansas University Physicians Inc (Kansas City, KS) and University Of Kansas Hospital Authority (Kansas City, KS). 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 Lori Spoozak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Spoozak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 4 other insurers list Lori Spoozak 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.

Is Lori Spoozak affiliated with any hospitals?

According to CMS data, Lori Spoozak is affiliated with University Of Kansas Health System - St Francis Campus, University Of Kansas Hospital, Olathe Medical Center and Stormont Vail Hospital.

When was this NPI record last updated?

The NPPES record for Lori Spoozak was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.