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SPENCER J KOSTINSKY MD
NPI 1508072513
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
245 S 8TH ST, PHILADELPHIA, PA 19106(215) 829-5514 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spencer J Kostinsky Md NPPES

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

SPENCER J KOSTINSKY MD (NPI 1508072513) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD424781) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Pennsylvania Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2000).

NPPES Registry Identity

NPI1508072513
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSPENCER J KOSTINSKYCredential: MD
Location Address245 S 8TH STPhiladelphia, PA 19106-3520
Mailing Address245 S 8th StPhiladelphia, PA 19106-3520 · (215) 829-5514
Phone(215) 829-5514
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2000
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 14, 2014
✔ NPI 1508072513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD424781
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
245 S 8TH ST, Philadelphia, PA 19106
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Spencer J Kostinsky Md 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 ID9931275237
PECOS Enrollment IDI20080911000078
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
180 services20 patients

Hospital Affiliations CMS Care Compare

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

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19106 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

ADRIA LOUISE SUTTER MSW, LSW
Social Worker
245 S 8TH ST
PHILADELPHIA, PA 19106
Philadelphia County (267) 236-6719
DR. DEVON CHARLES KING PH.D.
Psychologist (Clinical)
245 S 8TH ST
PHILADELPHIA, PA 19106
Philadelphia County (215) 829-5231
DR. RICHARD THOMAS WEYLER M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
245 S 8TH ST
PHILADELPHIA, PA 19106
Philadelphia County (215) 829-7271
JESSY SANDOVAL-BARRETT M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
245 S 8TH ST
PHILADELPHIA, PA 19106
Philadelphia County (215) 829-7271
EMA TANOVIC MS, MPHIL
Counselor
245 S 8TH ST
PHILADELPHIA, PA 19106
Philadelphia County (215) 829-7341
MICHELLE JOY M.D.
Psychiatry & Neurology (Psychiatry)
245 S 8TH ST
PHILADELPHIA, PA 19106
Philadelphia County (215) 829-5433
MS. LEBENE MENSAH
Counselor (Mental Health)
245 S 8TH ST
PHILADELPHIA, PA 19106
Philadelphia County (215) 829-7271
HALL- MERCER CMH-MRC OF PA HOSP
Clinic/Center (Mental Health (Including Community Mental Health Center))
245 S 8TH ST
PHILADELPHIA, PA 19106
Philadelphia County (215) 349-5150

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 Spencer Kostinsky's NPI number?

The NPI number for Spencer Kostinsky is 1508072513. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Spencer Kostinsky located?

Spencer Kostinsky practices at 245 S 8th St, Philadelphia, PA 19106. The listed phone number is (215) 829-5514.

What is Spencer Kostinsky's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Spencer Kostinsky enrolled in Medicare?

Yes. Spencer Kostinsky 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 Spencer Kostinsky accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Spencer Kostinsky 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 Spencer Kostinsky affiliated with any hospitals?

According to CMS data, Spencer Kostinsky is affiliated with Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Spencer Kostinsky was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.