MS. DEBRA MARIE SPOLJARIC FNP
NPI 1346268083
Nurse Practitioner - Family in Saint Louis, MO

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
4921 PARKVIEW PL, DIV IM MEDICAL ONCOLOGY, STE 7A, 7B, 7C, SAINT LOUIS, MO 63110(800) 647-2098(314) 362-3192 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2016).

About Ms. Debra Marie Spoljaric Fnp NPPES

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

MS. DEBRA MARIE SPOLJARIC FNP (NPI 1346268083) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (120297) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Barnes Medical College (1991).

NPPES Registry Identity

NPI1346268083
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DEBRA MARIE SPOLJARICCredential: FNP
Location Address4921 PARKVIEW PL, DIV IM MEDICAL ONCOLOGY, STE 7A, 7B, 7CSaint Louis, MO 63110-1032
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (800) 647-2098 · Fax (314) 362-3192
Fax(314) 362-3192
Sole ProprietorNo
Medical School CMSBarnes Medical CollegeGraduated 1991
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
NPI 1346268083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 120297
Also ListedNurse PractitionerTaxonomy 363L00000X · License 120297 (MO)
4921 PARKVIEW PL, Saint Louis, MO 63110

Other Identifiers 1

Medicaid427447503MO

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

Ms. Debra Marie Spoljaric Fnp 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 ID2365511839
PECOS Enrollment IDI20080523000313, I20210723001202
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 4

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.
76 services67 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.
30 services28 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
16 services12 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.81
Promoting Interoperability100
Improvement Activities40
Cost70.26

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.

Physician Assistant
4921 PARKVIEW PL, DIV SURG HPB, STE 12B
SAINT LOUIS, MO 63110
Urology
4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 63110
Internal Medicine (Rheumatology)
4921 PARKVIEW PL, DIV IM RHEUMATOLOGY, STE 5C
SAINT LOUIS, MO 63110
Neurological Surgery
4921 PARKVIEW PL, DEPT NEUROLOGICAL SURGERY, STE 6B/6C
SAINT LOUIS, MO 63110
Internal Medicine (Clinical Cardiac Electrophysiology)
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Neurology)
4921 PARKVIEW PL, DIV NEUROLOGY AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO 63110
Occupational Therapist
4921 PARKVIEW PL, DEPT OCCUPATIONAL THERAPY, STE 6F
SAINT LOUIS, MO 63110
Internal Medicine (Pulmonary Disease)
4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, 8TH FL
SAINT LOUIS, MO 63110

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 Debra Spoljaric's NPI number?

The NPI number for Debra Spoljaric is 1346268083. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Debra Spoljaric located?

Debra Spoljaric practices at 4921 Parkview Pl Div Im Medical Oncology, Ste 7A, 7B, 7C, Saint Louis, MO 63110. The listed phone number is (800) 647-2098.

What is Debra Spoljaric's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Debra Spoljaric enrolled in Medicare?

Yes. Debra Spoljaric 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 Debra Spoljaric accept?

Health plans from Cox HealthPlans list Debra Spoljaric 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.

When was this NPI record last updated?

The NPPES record for Debra Spoljaric was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.