DR. JOHN PATRICK SPIRNAK MD
NPI 1295724136
Urology in Middleburg Heights, OH

Q: What is John Spirnak's NPI number?

The NPI number for John Spirnak is 1295724136. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Q: What is John Spirnak's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for John Spirnak was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment

6900 PEARL RD STE 200, MIDDLEBURG HEIGHTS, OH 44130(440) 845-0900 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2024, Dec 27, 2021 (2 updates tracked since 2021).

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About Dr. John Patrick Spirnak Md NPPES

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

DR. JOHN PATRICK SPIRNAK MD (NPI 1295724136) is an individual urology provider in Middleburg Heights, Ohio, licensed in Ohio (35042212S) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and maintains a secondary practice location in Medina.

NPPES Registry Identity

NPI1295724136

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. JOHN PATRICK SPIRNAKCredential: MD

Location Address6900 PEARL RD STE 200Middleburg Heights, OH 44130-3640

Mailing Address104 Woodmont Blvd Ste 500Nashville, TN 37205-2245 · (559) 475-4151

Phone(440) 845-0900

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1977

Enumeration DateOctober 13, 2005

Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2024

✔ NPI 1295724136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in OH · 35042212S

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

6900 PEARL RD STE 200, Middleburg Heights, OH 44130

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Secondary Practice Location 1

Location 13647 Medina RdMedina, OH 44256-9649 · Phone (330) 725-0600

Other Identifiers 1

Medicaid0544094OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. John Patrick Spirnak 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 ID6709863756

PECOS Enrollment IDI20100322000210

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.

Medicare Billing Reassignments

Medicare enrollment records show John Spirnak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Urology, LLC

Same address

Urology

6900 PEARL ROAD, 2ND FLOOR
Middleburg Heights, OH 44130

Reassigned Medicare billing, Ohio enrollment
11 clinicians in this Medicare group

NPI 1962428136 (440) 845-0900

The Metrohealth System

7.6 mi

Multi-Specialty

2500 METROHEALTH DR
Cleveland, OH 44109

Reassigned Medicare billing, Ohio enrollment
2,147 clinicians in this Medicare group

NPI 1053353896 (216) 957-2442

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 16

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

103 services90 patients

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.

96 services79 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

90 services86 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.

88 services81 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

70 services50 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

29 services27 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services28 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

27 services24 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.

23 services22 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

23 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

18 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

11 services11 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

11 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360155

Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County

Emergency services Birthing friendly

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360172

Location3700 Kolbe RoadLorain, OH 44053 · Lorain County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

6 suppliers16 claims4,710 services$1.56 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

6 suppliers27 claims4,260 services$5.19 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 3

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

DR. JABER ALANZI MD

Urology

6900 PEARL RD STE 200
CLEVELAND, OH 44130

Cuyahoga County (440) 845-0900

ALEXUS ANN BUSHEE

Physician Assistant (Medical)

6900 PEARL RD STE 200
MIDDLEBURG HEIGHTS, OH 44130

Cuyahoga County (440) 845-0900

MRS. SARAH A GALINAS LPN

Licensed Practical Nurse

6900 PEARL RD STE 200
MIDDLEBURG HEIGHTS, OH 44130

Cuyahoga County (440) 845-0900

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 Spirnak's NPI number?

The NPI number for John Spirnak is 1295724136. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is John Spirnak located?

John Spirnak practices at 6900 Pearl Rd Ste 200, Middleburg Heights, OH 44130. The listed phone number is (440) 845-0900.

What is John Spirnak's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Spirnak enrolled in Medicare?

Yes. John Spirnak 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 John Spirnak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Spirnak reassigns Medicare benefits to 2 organizations: Southwest Urology, LLC (Middleburg Heights, OH) and The Metrohealth System (Cleveland, OH). 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 John Spirnak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Spirnak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list John Spirnak 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 John Spirnak affiliated with any hospitals?

According to CMS data, John Spirnak is affiliated with Southwest General Health Center and Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Spirnak was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.