JOHN MICHAEL SPORE MD
NPI 1275540502
Surgery in Mountain Home, AR
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
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Michael Spore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Spore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, AR 72703
- Reassigned Medicare billing, Arkansas enrollment
- 27 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.
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.
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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Where is John Spore located?
John Spore practices at 901 Burnett Dr, Mountain Home, AR 72653. The listed phone number is (870) 425-9120.
What is John Spore's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is John Spore enrolled in Medicare?
Yes. John Spore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Spore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Spore reassigns Medicare benefits to Healogics Specialty Physicians Of Arkansas, PLLC (Fayetteville, AR). The 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 John Spore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Spore was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# John Michael Spore, MD · NPI 1275540502
Surgery physician in Mountain Home, Arkansas. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1275540502 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** N7593 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 BURNETT DR, Mountain Home, AR 72653-2908
- **Phone:** (870) 425-9120 · **Fax:** (870) 424-4470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healogics Specialty Physicians Of Arkansas, PLLC (NPI 1538561436, Fayetteville, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2013
- **Other identifiers:** Medicaid 115393001 (AR); Medicare UPIN B91296; Medicare ID-Type Unspecified 52469 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1275540502) · Data from the CMS NPPES public registry.