MR. PAUL JOSHUA SPIEGEL MD
NPI 1265414577
Internal Medicine in Brockton, MA
About Mr. Paul Joshua Spiegel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL JOSHUA SPIEGEL MD (NPI 1265414577) is an individual internal medicine provider in Brockton, Massachusetts, licensed in Massachusetts (219913) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains a secondary practice location in Warren.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Mr. Paul Joshua Spiegel 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.
Medicare Billing Reassignments
7Medicare enrollment records show Paul Spiegel reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brockton, MA 02301
- Reassigned Medicare billing, Massachusetts enrollment
- 173 clinicians in this Medicare group
Brockton, MA 02302
- Reassigned Medicare billing, Massachusetts enrollment
- 337 clinicians in this Medicare group
Canton, MA 02021
- Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
- 113 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
Watertown, MA 02472
- Reassigned Medicare billing, Massachusetts enrollment
- 1,103 clinicians in this Medicare group
Bristol, RI 02809
- Reassigned Medicare billing, Massachusetts enrollment
- 48 clinicians in this Medicare group
Fargo, ND 58104
- Reassigned Medicare billing, Massachusetts enrollment
- 5 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Shore Hospital
Acute Care Hospitals · South Weymouth, MABrigham And Women's Hospital
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BROCKTON, MA 02301
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 Paul Spiegel's NPI number?
The NPI number for Paul Spiegel is 1265414577. It was assigned to this individual provider in the NPPES registry on November 14, 2005.
Where is Paul Spiegel located?
Paul Spiegel practices at 235 N Pearl St, Brockton, MA 02301. The listed phone number is (508) 427-3000.
What is Paul Spiegel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Paul Spiegel enrolled in Medicare?
Yes. Paul Spiegel 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 Paul Spiegel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Spiegel reassigns Medicare benefits to 7 organizations: Sound Physicians Of Massachusetts II PC (Brockton, MA), Sound Physicians Of Massachusetts Inc (Brockton, MA), Vantage Healthcare LLC (Canton, MA), Brigham & Womens Physicians Organization Inc (Boston, MA), Steward Medical Group, Inc (Watertown, MA) and 2 more organizations, listed in the Medicare section above. 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 Paul Spiegel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Spiegel accept?
Health plans from Anthem Blue Cross and Blue Shield, Taro Health and WellSense Health Plan list Paul Spiegel 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 Paul Spiegel affiliated with any hospitals?
According to CMS data, Paul Spiegel is affiliated with South Shore Hospital and Brigham And Women's Hospital.
When was this NPI record last updated?
The NPPES record for Paul Spiegel was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Mr. Paul Joshua Spiegel, MD · NPI 1265414577
Internal Medicine physician in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since November 14, 2005.
## Identity
- **NPI:** 1265414577 (Entity type: Individual)
- **Enumerated:** November 14, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 219913 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 235 N PEARL ST, Brockton, MA 02301-1794
- **Phone:** (508) 427-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Sound Physicians Of Massachusetts II PC (NPI 1306376397, Brockton, MA); Sound Physicians Of Massachusetts Inc (NPI 1740678408, Brockton, MA); Vantage Healthcare LLC (NPI 1366903551, Canton, MA); Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA); Steward Medical Group, Inc (NPI 1629398219, Watertown, MA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 19, 2026
- **Other identifiers:** Medicaid 110074092A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1265414577) · Data from the CMS NPPES public registry.