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DR. JAMES ANTHONY SPOTO DO
NPI 1457563959
Otolaryngology - Facial Plastic Surgery in Grand Rapids, MI

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
1179 E PARIS AVE SE, GRAND RAPIDS, MI 49546(616) 252-5760(616) 252-5765 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2017, Dec 1, 2017, Feb 17, 2017 and 1 more (4 updates tracked since 2016).

About Dr. James Anthony Spoto Do NPPES

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

DR. JAMES ANTHONY SPOTO DO (NPI 1457563959) is an individual facial plastic surgery provider in Grand Rapids, Michigan, licensed in Michigan (5101015501) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2002).

NPPES Registry Identity

NPI1457563959
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. JAMES ANTHONY SPOTOCredential: DO
Location Address1179 E PARIS AVE SEGrand Rapids, MI 49546-8371
Mailing Address5900 Byron Center Ave Sw, Medical AdministrationWyoming, MI 49519-9606 · (616) 252-3243 · Fax (616) 252-0260
Phone(616) 252-5760
Fax(616) 252-5765
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2002
Enumeration DateMay 4, 2007
Last NPPES UpdateDecember 5, 20174 updates tracked since enumeration
✔ NPI 1457563959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in MI · 5101015501
Definition

An otolaryngologist who specializes in facial plastic surgery.

1179 E PARIS AVE SE, Grand Rapids, MI 49546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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. James Anthony Spoto Do 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 ID6305938168
PECOS Enrollment IDI20210310000066
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 9

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.
155 services104 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.
88 services88 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
84 services67 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.
53 services49 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
28 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520011
Location1700 West Stout StreetRice Lake, WI 54868 · Barron County
Emergency services Birthing friendly

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520210
Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County
Emergency services Birthing friendly

Marshfield Medical Center - Ladysmith

Critical Access Hospitals · Ladysmith, WI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number521328
Location1200 Port Arthur RdLadysmith, WI 54848 · Rusk County
Emergency services

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN BULTMAN L.L.C.
Social Worker (Clinical)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 460-1857
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Psychiatry & Neurology (Psychiatry)
1179 E PARIS AVE SE, STE. 220
GRAND RAPIDS, MI 49546
Kent County (616) 454-2004
DR. ROBERT CRAIG PAYNE D.D.S.
Dentist (Pediatric Dentistry)
1179 E PARIS AVE SE, SUITE 130
GRAND RAPIDS, MI 49546
Kent County (616) 942-9840
GREAT LAKES PSYCHIATRIC SERVICES, P.C.
Clinic/Center (Adult Mental Health)
1179 E PARIS AVE SE, SUITE 220
GRAND RAPIDS, MI 49546
Kent County (616) 454-2004
DR. ANDREW M. BEHLER D.O.,M.P.H.
Otolaryngology (Facial Plastic Surgery)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 252-5760
ASSOCIATED RETINAL CONSULTANTS, PC
Ophthalmology
1179 E PARIS AVE SE, 250
GRAND RAPIDS, MI 49546
Kent County (616) 942-2406
MS. LOUISE ANN SOMMER LMSW
Social Worker (Clinical)
1179 E PARIS AVE SE, SUITE # 220
GRAND RAPIDS, MI 49546
Kent County (616) 454-2004
GRADY S RANDALL DDS
Dentist (Pediatric Dentistry)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 942-9840

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 James Spoto's NPI number?

The NPI number for James Spoto is 1457563959. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is James Spoto located?

James Spoto practices at 1179 E Paris Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 252-5760.

What is James Spoto's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is James Spoto enrolled in Medicare?

Yes. James Spoto 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 James Spoto accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list James Spoto 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 James Spoto affiliated with any hospitals?

According to CMS data, James Spoto is affiliated with Marshfield Medical Center - Rice Lake, Mayo Clinic Health System Eau Claire Hospital, Marshfield Medical Center - Eau Claire and Marshfield Medical Center - Ladysmith.

When was this NPI record last updated?

The NPPES record for James Spoto was last updated on December 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.