JOHN MICHAEL SPORE MD - NPI 1275540502 - Surgery in Mountain Home, AR

Q: What is John Spore's NPI number?

The NPI number for John Spore is 1275540502. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is John Spore's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for John Spore was last updated on August 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About John Michael Spore Md NPPES

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

JOHN MICHAEL SPORE MD (NPI 1275540502) is an individual surgery provider in Mountain Home, Arkansas, licensed in Arkansas (N7593) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275540502

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJOHN MICHAEL SPORECredential: MD

Location Address901 BURNETT DRMountain Home, AR 72653-2908

Mailing Address901 Burnett DrMountain Home, AR 72653-2908 · (870) 425-9120 · Fax (870) 424-4470

Phone(870) 425-9120

Fax(870) 424-4470

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateAugust 27, 2013

✔ NPI 1275540502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in AR · N7593

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

901 BURNETT DR, Mountain Home, AR 72653

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Other Identifiers 3

Medicaid115393001AR

Medicare UPINB91296

Medicare ID-Type Unspecified52469AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Michael Spore 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 72653 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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.

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.

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 supplier11 claims110 services$3.87 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

3 suppliers20 claims370 services$3.16 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 15

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

ANASTASIOS MITSAKOS MD

Surgery