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DR. THEODORE ERICH SPIRO MD
NPI 1285807800
Internal Medicine in Pennington, NJ

Active since April 03, 2008PECOS Enrolled
11 BENJAMIN TRL, PENNINGTON, NJ 08534(609) 737-5118(609) 737-8503 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2025, Dec 3, 2024, May 17, 2016 (3 updates tracked since 2016).

About Dr. Theodore Erich Spiro Md NPPES

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

DR. THEODORE ERICH SPIRO MD (NPI 1285807800) is an individual internal medicine provider in Pennington, New Jersey, licensed in New Jersey (25MA053883600) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285807800
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THEODORE ERICH SPIROCredential: MD
Location Address11 BENJAMIN TRLPennington, NJ 08534-9747
Mailing Address11 Benjamin TrlPennington, NJ 08534-9747 · (609) 737-5118
Phone(609) 737-5118
Fax(609) 737-8503
Sole ProprietorYes
Enumeration DateApril 3, 2008
Last NPPES UpdateJune 8, 20263 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1285807800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA053883600
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.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 25MA05383600 (NJ)
11 BENJAMIN TRL, Pennington, NJ 08534
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Erich Spiro 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 08534 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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 Theodore Spiro's NPI number?

The NPI number for Theodore Spiro is 1285807800. It was assigned to this individual provider in the NPPES registry on April 3, 2008.

Where is Theodore Spiro located?

Theodore Spiro practices at 11 Benjamin Trl, Pennington, NJ 08534. The listed phone number is (609) 737-5118.

What is Theodore Spiro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theodore Spiro enrolled in Medicare?

Yes. Theodore Spiro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Spiro was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.