EMILY CLAIRE SPEELMON M.D., PH.D.
NPI 1306003769
Internal Medicine - Pulmonary Disease in Dayton, OH

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1520 S MAIN ST, STE 2, DAYTON, OH 45409(937) 461-5815(937) 461-2896 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2016, Mar 16, 2016 (2 updates tracked since 2016).

About Emily Claire Speelmon M.d., Ph.d. NPPES

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

EMILY CLAIRE SPEELMON M.D., PH.D. (NPI 1306003769) is an individual pulmonary disease provider in Dayton, Ohio, licensed in Ohio (35-128718) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of University Of Washington School Of Medicine (2008).

NPPES Registry Identity

NPI1306003769
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameEMILY CLAIRE SPEELMONCredential: M.D., PH.D.
Location Address1520 S MAIN ST, STE 2Dayton, OH 45409-2643
Mailing Address1520 S Main St, Ste 2Dayton, OH 45409-2643 · (937) 461-5815 · Fax (937) 461-2896
Fax(937) 461-2896
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2008
Enumeration DateMay 21, 2008
Last NPPES UpdateMay 13, 20162 updates tracked since enumeration
NPI 1306003769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in OH · 35-128718 Licensed in OR · MD166946
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD166946 (OR)
1520 S MAIN ST, Dayton, OH 45409

Accepted Insurance

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

Emily Claire Speelmon M.d., Ph.d. 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 ID5092038794
PECOS Enrollment IDI20160602001444
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 23

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.

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.
311 services213 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
171 services153 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
163 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
146 services83 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
108 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
74 services56 patients

Hospital Affiliations CMS Care Compare 4

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360086
Location100 Medical Center DriveSpringfield, OH 45504 · Clark County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 10

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers47 claims47 services$15.57 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
5 suppliers44 claims45 services$4.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers108 claims111 services$77.57 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers74 claims77 services$33.64 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
3 suppliers27 claims1,590 services$4.44 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
14 suppliers50 claims14,239 services$0.03 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 20

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

Internal Medicine (Rheumatology)
1520 S MAIN ST, STE 3
DAYTON, OH 45409
Internal Medicine (Pulmonary Disease)
1520 S MAIN ST, # 2
DAYTON, OH 45409
Surgery (Plastic and Reconstructive Surgery)
1520 S MAIN ST, SUITE 200
DAYTON, OH 45409
Internal Medicine (Pulmonary Disease)
1520 S MAIN ST, SUITE 2
DAYTON, OH 45409
Technician/Technologist (Optician)
1520 S MAIN ST
DAYTON, OH 45409
Ophthalmology
1520 S MAIN ST
DAYTON, OH 45409
Internal Medicine
1520 S MAIN ST, SUITE 3
DAYTON, OH 45409
Registered Nurse
1520 S MAIN ST, SUITE 2
DAYTON, OH 45409

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 Emily Speelmon's NPI number?

The NPI number for Emily Speelmon is 1306003769. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Emily Speelmon located?

Emily Speelmon practices at 1520 S Main St Ste 2, Dayton, OH 45409. The listed phone number is (937) 461-5815.

What is Emily Speelmon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Emily Speelmon enrolled in Medicare?

Yes. Emily Speelmon 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.

What insurance does Emily Speelmon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Emily Speelmon 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 Emily Speelmon affiliated with any hospitals?

According to CMS data, Emily Speelmon is affiliated with Miami Valley Hospital, Atrium Medical Center, Springfield Regional Medical Center and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Emily Speelmon was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.