DR. MARVIN DOUGLAS SPANN M.D.
NPI 1407044399
Plastic Surgery in Las Vegas, NV

NPI Status: Active since October 04, 2007

Contact Information

2615 BOX CANYON DR
LAS VEGAS, NV
ZIP 89128
Phone: (702) 998-8486
Fax: (702) 998-8282

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  • Individual
  • Male
  • Years of Experience 24
  • Plastic Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MARVIN SPANN

Marvin Spann is a provider established in Las Vegas, Nevada and his medical specialization is Plastic Surgery with more than 24 years of experience. He graduated from Meharry Medical College School Of Medicine in 2000. The healthcare provider is registered in the NPI registry with number 1407044399 assigned on October 2007. The practitioner's primary taxonomy code is 208200000X with license number 13247 (NV). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1407044399
Provider Name
DR. MARVIN DOUGLAS SPANN M.D.
Gender
Male
Entity Type
Individual
Location Address
2615 BOX CANYON DR LAS VEGAS, NV 89128
Location Phone
(702) 998-8486
Location Fax
(702) 998-8282
Mailing Address
PO BOX 35914 LAS VEGAS, NV 89133
Mailing Phone
(702) 998-8486
Mailing Fax
(702) 998-8282
Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
10-04-2007
Last Update Date
08-09-2012
Code Navigator

Marvin Spann is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.17 for a new patient copayment and $18.78 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
13247
License State
NV
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208200000XAllopathic & Osteopathic Physicians

Plastic Surgery

6664375-1205 (UT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CK148ZMEDICARE PIN (08)NV 

PECOS Enrollment and Medicare Participation Status

Marvin Spann is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5193863272

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20091110000461

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 89128 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.69
  • Minimum New Patient Price $60.19
  • Maximum New Patient Price $183.01
  • Average New Patient Copayment $23.17
  • Minimum New Patient Copayment $15.04
  • Maximum New Patient Copayment $45.75

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.13
  • Minimum Established Patient Price $18.54
  • Maximum Established Patient Price $149
  • Average Established Patient Copayment $18.78
  • Minimum Established Patient Copayment $4.63
  • Maximum Established Patient Copayment $37.25

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Marvin Spann is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SUMMERLIN HOSPITAL MEDICAL CENTER657 TOWN CENTER DRIVE
LAS VEGAS, NV 89144
(702) 233-7500Acute Care Hospitals

Reviews for DR. MARVIN DOUGLAS SPANN M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407044399
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2407048318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 0 + 4 + 8 + 3 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1407044399 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518993260 CAROL LYNN TANKO CRNA
Individual
Nurse Anesthetist, Certified Registered2615 BOX CANYON DR
LAS VEGAS, NV 89128
(702) 228-0781
1770667081 CYNTHIA RYDZEWSKI FITZGERALD CRNA
Individual
Nurse Anesthetist, Certified Registered2615 BOX CANYON DR
LAS VEGAS, NV 89128
(702) 228-0781
1700964780DR. CANDACE THORNTON SPANN M.D.
Individual
Dermatology2615 BOX CANYON DR
LAS VEGAS, NV 89128
(702) 998-8486
1972750370DR. GRACE KYUNG KIM D.O.
Individual
Dermatology (MOHS-Micrographic Surgery)2615 BOX CANYON DR
LAS VEGAS, NV 89128
(702) 998-9001
1134672553 AARON STOREY PA-C
Individual
Physician Assistant2615 BOX CANYON DR
LAS VEGAS, NV 89128
(888) 993-3761
1871964676 KASIE PALMER PA-C
Individual
Physician Assistant (Surgical)2615 BOX CANYON DR
LAS VEGAS, NV 89128
(702) 998-9001
1477314029LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Organization
Clinic/Center (Medical Specialty)2615 BOX CANYON DR
LAS VEGAS, NV 89128
(775) 437-1520
1083478994LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION
Organization
Clinic/Center (Medical Specialty)2615 BOX CANYON DR
LAS VEGAS, NV 89128
(725) 465-2040
1467216309DANIEL TAHERI MD PC
Organization
Clinic/Center (Medical Specialty)2615 BOX CANYON DR
LAS VEGAS, NV 89128
(702) 639-8585

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407044399, enumerated in the NPI registry as an "individual" on October 04, 2007

The provider is located at 2615 Box Canyon Dr Las Vegas, Nv 89128 and the phone number is (702) 998-8486

The provider's speciality is Plastic Surgery with taxonomy code 208200000X

The provider has more than 24 years of experience. He graduated from Meharry Medical College School Of Medicine in 2000.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $92.69 with an average copayment of $23.17 for new patient appointments. Established patients should expect a typical charge of $75.13 and an average copayment of 18.78. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): SUMMERLIN HOSPITAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on October 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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