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DR. JOHN THEODORE SPIGOS MD
NPI 1386272474
Pediatrics in Morristown, NJ

Active since April 01, 2020PECOS Enrolled
100 MADISON AVE, MORRISTOWN, NJ 07960(973) 971-7550(973) 290-2388 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2025, Oct 25, 2023, May 3, 2023 and 2 more (5 updates tracked since 2020).

About Dr. John Theodore Spigos Md NPPES

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

DR. JOHN THEODORE SPIGOS MD (NPI 1386272474) is an individual pediatrics provider in Morristown, New Jersey, licensed in New Jersey (25MA12598000) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Summit.

NPPES Registry Identity

NPI1386272474
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JOHN THEODORE SPIGOSCredential: MD
Location Address100 MADISON AVEMorristown, NJ 07960-6136
Mailing AddressPo Box 416457Boston, MA 02241-6457 · (844) 362-1735 · Fax (973) 290-7495
Phone(973) 971-7550
Fax(973) 290-2388
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateJuly 10, 20255 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1386272474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA12598000
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 MADISON AVE, Morristown, NJ 07960
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Secondary Practice Location 1

Location 199 Beauvoir AveSummit, NJ 07901-3533 · Phone (973) 971-7550 · Fax (973) 290-2388

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Theodore Spigos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

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

Practice Associates Medical Group
Same address
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250
Mayo Clinic
945 mi
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
NPI 1114343860 (507) 284-2511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07960 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

MELISSA LOPES M.D
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (201) 943-5831
MORRISTOWN MEMORIAL HOSPITAL
General Acute Care Hospital
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (888) 250-9947
VINCENT MAIXNER LCSW
Social Worker (Clinical)
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (973) 971-5000
MEGAN LYNN CATHEY NP-C
Nurse Practitioner (Adult Health)
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (973) 971-5358
ANTHONY RIZZUTI
Nurse Anesthetist, Certified Registered
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (800) 991-9133
OMAR MOHAMMED ABDELFATTAH MBBCH
Student in an Organized Health Care Education/Training Program
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (973) 971-5000
ALEXANDER CASCAIS MD
Student in an Organized Health Care Education/Training Program
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (973) 971-5000
DEVEA RANI DE MD
Student in an Organized Health Care Education/Training Program
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (973) 971-5000

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 Spigos's NPI number?

The NPI number for John Spigos is 1386272474. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is John Spigos located?

John Spigos practices at 100 Madison Ave, Morristown, NJ 07960. The listed phone number is (973) 971-7550.

What is John Spigos's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Spigos enrolled in Medicare?

Yes. John Spigos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Spigos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Spigos reassigns Medicare benefits to 2 organizations: Practice Associates Medical Group (Morristown, NJ) and Mayo Clinic (Rochester, MN). 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 Spigos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Spigos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list John Spigos 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 John Spigos was last updated on July 10, 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.