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DR. MICHAEL J SPEZIA D.O.
NPI 1316928369
Family Medicine in Saint Louis, MO

Active since November 08, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 26D0439285 · Microscopy
23 N OAKS PLZ, SUITE 200, SAINT LOUIS, MO 63121(314) 385-7161(314) 382-3502 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael J Spezia D.o. NPPES

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

DR. MICHAEL J SPEZIA D.O. (NPI 1316928369) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (R8660) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through July 16, 2027, and is affiliated with Mercy Hospital St Louis.

NPPES Registry Identity

NPI1316928369
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL J SPEZIACredential: D.O.
Location Address23 N OAKS PLZ, SUITE 200Saint Louis, MO 63121-2917
Mailing Address23 N Oaks Plz, Suite 200Saint Louis, MO 63121-2917 · (314) 385-7161 · Fax (314) 382-3502
Phone(314) 385-7161
Fax(314) 382-3502
Sole ProprietorYes
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 1977
Enumeration DateNovember 8, 2005
Last NPPES UpdateJanuary 11, 2012
✔ NPI 1316928369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · R8660
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
23 N OAKS PLZ, Saint Louis, MO 63121
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Other Identifiers 4

Medicaid431183760MO
Medicaid240274704MO
Medicare ID-Type Unspecified000009022MO
Medicare UPIND41720MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company, UnitedHealthcare.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

Dr. Michael J Spezia D.o. 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 ID648368621
PECOS Enrollment IDI20100331000605
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D0439285

Michael J Spezia Do Inc · Saint Louis, MO
Active · expires Jul 16, 2027
CLIA Number26D0439285
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorMichael J. Spezia
Laboratory Phone(314) 385-7161
Laboratory LocationMichael J Spezia Do Inc23 North Oaks Plaza , Room 200, Saint Louis, MO 63121
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 11

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.
191 services92 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.
75 services58 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
58 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
51 services51 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
47 services47 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63121 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
16%381 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers39 claims84 services$5.82 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers21 claims26 services$1.03 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$1.69 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
3 suppliers25 claims26 services$67.07 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
4 suppliers19 claims3,224 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier14 claims15 services$185.18 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 8

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

ANGEL'S CARE INC
Technician (Personal Care Attendant)
23 N OAKS PLZ, SUITE 245
SAINT LOUIS, MO 63121
St. Louis County (314) 381-0321
HUGHES HEALTH SERVICES LLC.
Case Management
23 N OAKS PLZ, SUITE 262
SAINT LOUIS, MO 63121
St. Louis County (314) 385-5800
LCA HEALTHCARE, LLC
Home Health
23 N OAKS PLZ, SUITE 222
SAINT LOUIS, MO 63121
St. Louis County (314) 802-7142
MRS. MARSHA VICTORIA THOMAS-ROBERTS DIRECTOR
Registered Nurse
23 N OAKS PLZ, SUITE 250
SAINT LOUIS, MO 63121
St. Louis County (314) 382-9700
ANGEL'S CARE INC
Home Health
23 N OAKS PLZ, SUITE 245
SAINT LOUIS, MO 63121
St. Louis County (314) 381-0321
THOMAS BUSINESS ENTERPRISES INC
Clinical Medical Laboratory
23 N OAKS PLZ, SUITE 250
SAINT LOUIS, MO 63121
St. Louis County (314) 382-9700
MICHAEL J SPEZIA DO INC
Health Maintenance Organization
23 N OAKS PLZ, SUITE 200
SAINT LOUIS, MO 63121
St. Louis County (314) 385-7161
THOMAS NURSING SERVICES, INC.
Home Health
23 N OAKS PLZ, SUITE 250
SAINT LOUIS, MO 63121
St. Louis County (314) 382-9700

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 Michael Spezia's NPI number?

The NPI number for Michael Spezia is 1316928369. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Michael Spezia located?

Michael Spezia practices at 23 N Oaks Plz Suite 200, Saint Louis, MO 63121. The listed phone number is (314) 385-7161.

What is Michael Spezia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Spezia enrolled in Medicare?

Yes. Michael Spezia 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.

Does Michael Spezia hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0439285) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michael Spezia accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Insurance Company and UnitedHealthcare list Michael Spezia 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 Michael Spezia affiliated with any hospitals?

According to CMS data, Michael Spezia is affiliated with Mercy Hospital St Louis, Ssm Health St Mary's Hospital - St Louis, Ssm Health Depaul Hospital St Louis and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Michael Spezia was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.