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DR. DAVID A SPIRO M.D.
NPI 1447203864
Family Medicine in Edmonds, WA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
21911 76TH AVE W, #110, EDMONDS, WA 98026(425) 640-4950(425) 640-4958 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David A Spiro M.d. NPPES

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

DR. DAVID A SPIRO M.D. (NPI 1447203864) is an individual family medicine provider in Edmonds, Washington, licensed in Washington (MD00023326) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of University Of Washington School Of Medicine (1983).

NPPES Registry Identity

NPI1447203864
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID A SPIROCredential: M.D.
Location Address21911 76TH AVE W, #110Edmonds, WA 98026-7903
Mailing Address21911 76th Ave W, #110Edmonds, WA 98026-7903 · (425) 640-4950 · Fax (425) 640-4958
Phone(425) 640-4950
Fax(425) 640-4958
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1983
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
✔ NPI 1447203864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00023326
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.
21911 76TH AVE W, Edmonds, WA 98026
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Other Identifiers 2

Medicaid1090943WA
OtherR01571WA · Regence Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. David A Spiro M.d. 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 ID749477644
PECOS Enrollment IDI20101203001051
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 3

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.
70 services46 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.
53 services50 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.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

JOE M SKARIAH DO
Family Medicine
21911 76TH AVE W, #110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
DR. EMMY NAKASU DAVISON M.D.
Family Medicine
21911 76TH AVE W, SUITE 110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
DR. SAMUEL K SETO M.D.
Ophthalmology
21911 76TH AVE W, SUITE 101
EDMONDS, WA 98026
Snohomish County (425) 774-7723
EMILY NEL PETERSON MD
Family Medicine
21911 76TH AVE W, SUITE 110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
CHELSEA MURPHY MS, RD
Dietitian, Registered
21911 76TH AVE W, SUITE 200
EDMONDS, WA 98026
Snohomish County (425) 778-2220
DR. JUDITH BABCOCK M.D.
Family Medicine
21911 76TH AVE W, #110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
DR. MAURENE P CRONYN M.D.
Family Medicine
21911 76TH AVE W, #110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
ANGELICA ROSE SUP O.D.
Optometrist
21911 76TH AVE W, SUITE 101
EDMONDS, WA 98026
Snohomish County (425) 774-7723

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 David Spiro's NPI number?

The NPI number for David Spiro is 1447203864. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is David Spiro located?

David Spiro practices at 21911 76th Ave W #110, Edmonds, WA 98026. The listed phone number is (425) 640-4950.

What is David Spiro's specialty?

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

Is David Spiro enrolled in Medicare?

Yes. David Spiro 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 David Spiro accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list David Spiro 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 David Spiro affiliated with any hospitals?

According to CMS data, David Spiro is affiliated with Swedish Edmonds Hospital.

When was this NPI record last updated?

The NPPES record for David Spiro was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.