DR. T JOSEPH D SPIRES DPM
NPI 1326303603
Podiatrist - Foot & Ankle Surgery in New Albany, IN

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1919 STATE ST, SUITE 104, NEW ALBANY, IN 47150(812) 944-2663(812) 981-7285 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2020, Mar 3, 2016, Oct 2, 2015 (3 updates tracked since 2015).

About Dr. T Joseph D Spires Dpm NPPES

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

DR. T JOSEPH D SPIRES DPM (NPI 1326303603) is an individual foot & ankle surgery provider in New Albany, Indiana, licensed in Indiana (07001210A) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1326303603
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. T JOSEPH D SPIRESCredential: DPM
Location Address1919 STATE ST, SUITE 104New Albany, IN 47150-4929
Mailing Address800 Highlander Point Dr, Suite 204Floyds Knobs, IN 47119-9465 · (812) 542-4921 · Fax (812) 949-5966
Fax(812) 981-7285
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 11, 2012
Last NPPES UpdateDecember 3, 20203 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
NPI 1326303603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in IN · 07001210A
1919 STATE ST, New Albany, IN 47150

Other Identifiers 1

Medicaid201290910IN

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

Dr. T Joseph D Spires Dpm 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 ID2264753078
PECOS Enrollment IDI20150605000094
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 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 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.
387 services239 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
289 services195 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.
160 services160 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
128 services41 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
108 services64 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.
84 services69 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier13 claims14 services$58.77 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier33 claims33 services$216.06 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.

Physical Therapist
1919 STATE ST, SUITE 442
NEW ALBANY, IN 47150
Surgery
1919 STATE ST, SUITE 464
NEW ALBANY, IN 47150
Social Worker (Clinical)
1919 STATE ST, SUITE NUMBER 18
NEW ALBANY, IN 47150
Durable Medical Equipment & Medical Supplies
1919 STATE ST, SUITE 140
NEW ALBANY, IN 47150
Urology
1919 STATE ST, SUITE 205
NEW ALBANY, IN 47150
Nurse Practitioner (Women's Health)
1919 STATE ST, SUITE 340
NEW ALBANY, IN 47150
Specialist
1919 STATE ST, SUITE 248
NEW ALBANY, IN 47150
Marriage & Family Therapist
1919 STATE ST, SUITE 322
NEW ALBANY, IN 47150

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 T Joseph Spires's NPI number?

The NPI number for T Joseph Spires is 1326303603. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is T Joseph Spires located?

T Joseph Spires practices at 1919 State St Suite 104, New Albany, IN 47150. The listed phone number is (812) 944-2663.

What is T Joseph Spires's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is T Joseph Spires enrolled in Medicare?

Yes. T Joseph Spires 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 T Joseph Spires accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list T Joseph Spires 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 T Joseph Spires affiliated with any hospitals?

According to CMS data, T Joseph Spires is affiliated with Baptist Health Floyd.

When was this NPI record last updated?

The NPPES record for T Joseph Spires was last updated on December 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.