JAMES E SPICHER MD
NPI 1275571887
Internal Medicine in Lancaster, PA

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2221 NOLL DR STE 2000, LANCASTER, PA 17603(717) 327-4694(717) 723-4964 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 29, 2026, Jun 9, 2020 (2 updates tracked since 2020).

About James E Spicher Md NPPES

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

JAMES E SPICHER MD (NPI 1275571887) is an individual internal medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD040022E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Lititz, and is a graduate of Pennsylvania State University College Of Medicine (1986).

NPPES Registry Identity

NPI1275571887
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES E SPICHERCredential: MD
Location Address2221 NOLL DR STE 2000Lancaster, PA 17603-7614
Mailing Address2221 Noll Dr Ste 2000Lancaster, PA 17603-7614 · (717) 327-4694 · Fax (717) 723-4364
Fax(717) 723-4964
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1986
Enumeration DateJune 4, 2006
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
NPI 1275571887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD040022E
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.

2221 NOLL DR STE 2000, Lancaster, PA 17603

Other Identifiers 1

Medicaid01117492PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

James E Spicher 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.

PECOS PAC ID4082758008
PECOS Enrollment IDI20100215000348
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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
577 services279 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
385 services224 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
309 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
180 services144 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
108 services55 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
85 services60 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Lititz

Acute Care Hospitals · Lititz, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390068
Location1500 Highlands DriveLititz, PA 17543 · Lancaster County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 19

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers12 claims156 services$17.72 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers12 claims350 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers35 claims92 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims14 services$1.09 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier12 claims96 services$2.29 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers29 claims29 services$31.98 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 9

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

Family Medicine
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Internal Medicine (Gastroenterology)
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Internal Medicine
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Nurse Practitioner (Pediatrics)
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Physician Assistant (Surgical)
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Family Medicine
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Orthopaedic Surgery
2221 NOLL DR STE 2000
LANCASTER, PA 17603

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275571887, enumerated as an "individual" on June 04, 2006.

The provider is located at 2221 NOLL DR STE 2000 LANCASTER, PA 17603 and the phone number is (717) 327-4694.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

James Spicher is affiliated with: UPMC LITITZ, PENN STATE HEALTH ST. JOSEPH, LANCASTER GENERAL HOSPITAL, MILTON S HERSHEY MEDICAL CENTER and PENN STATE HEALTH LANCASTER MEDICAL CENTER.