GLEN F MCSPADDEN M.D.
NPI 1487629150
Emergency Medicine in Gravette, AR

Q: What is Glen Mcspadden's NPI number?

The NPI number for Glen Mcspadden is 1487629150. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Q: What is Glen Mcspadden's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Mcspadden was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 17, 2006PECOS Enrolled

1101 JACKSON ST SW, GRAVETTE, AR 72736(479) 787-5291(479) 344-6404 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2022, Aug 18, 2022, Jun 29, 2020 (3 updates tracked since 2020).

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About Glen F Mcspadden M.d. NPPES

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

GLEN F MCSPADDEN M.D. (NPI 1487629150) is an individual emergency medicine provider in Gravette, Arkansas, licensed in Arkansas (E4542) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487629150

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameGLEN F MCSPADDENCredential: M.D.

Location Address1101 JACKSON ST SWGravette, AR 72736-9121

Mailing Address13763 Colline RdBentonville, AR 72712-9147 · (479) 426-9940

Phone(479) 787-5291

Fax(479) 344-6404

Sole ProprietorNo

Enumeration DateFebruary 17, 2006

Last NPPES UpdateNovember 3, 20223 updates tracked since enumeration

NPPES CertifiedNovember 3, 2022

✔ NPI 1487629150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in AR · E4542✔ Licensed in OK · 24242

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License E4542 (AR)

1101 JACKSON ST SW, Gravette, AR 72736

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Other Identifiers 1

Medicaid200052620AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glen F Mcspadden M.d. 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

Medicare enrollment records show Glen Mcspadden reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sgoh Acquisition Inc

Same address

Critical Access

1101 JACKSON ST SW
Gravette, AR 72736

Reassigned Medicare billing, Arkansas enrollment
95 clinicians in this Medicare group

NPI 1568643005 (479) 787-5291

South Arkansas Emergency Physicians, LLP

16 mi

Emergency Medicine

3000 SE MEDICAL CENTER PKWY
Bentonville, AR 72712

Reassigned Medicare billing, Arkansas enrollment
148 clinicians in this Medicare group

NPI 1447671490 (479) 553-1000

Washington Regional Medical System

27 mi

Hospitalist

3215 N NORTH HILLS BLVD
Fayetteville, AR 72703

Reassigned Medicare billing, Arkansas enrollment
123 clinicians in this Medicare group

NPI 1306801485 (479) 463-1000

Southeastern Emergency Physicians LLC

605 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Arkansas enrollment
310 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

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 72736 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

DR. DAVID JOHN TUCKER MD

Family Medicine