DR. PAUL D SPIRO M.D.
NPI 1578548939
Family Medicine in Buckingham, PA

Q: What is Paul Spiro's NPI number?

The NPI number for Paul Spiro is 1578548939. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Q: What is Paul Spiro's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Spiro was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 December 08, 2005PECOS EnrolledAccepts Medicare Assignment

4897 YORK ROAD, BUCKINGHAM, PA 18912(215) 794-7471(215) 794-2576 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Paul D Spiro M.d. NPPES

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

DR. PAUL D SPIRO M.D. (NPI 1578548939) is an individual family medicine provider in Buckingham, Pennsylvania, licensed in Pennsylvania (MD034236E) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1578548939

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PAUL D SPIROCredential: M.D.

Location Address4897 YORK ROADBuckingham, PA 18912

Mailing AddressDh Physicians Po Box 829641Philadelphia, PA 19182-9641 · (267) 370-5296 · Fax (215) 230-3725

Phone(215) 794-7471

Fax(215) 794-2576

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateDecember 8, 2005

Last NPPES UpdateJanuary 15, 2019

✔ NPI 1578548939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD034236E

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.

4897 YORK ROAD, Buckingham, PA 18912

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Other Identifiers 1

Medicaid001148210PA

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. Paul D 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 ID4981666526

PECOS Enrollment IDI20100525000368

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 15

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.

617 services308 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.

402 services264 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.

166 services166 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

165 services162 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

161 services160 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

51 services42 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

29 services29 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

28 services24 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

22 services20 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

22 services22 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

20 services20 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

18 services16 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

12 services12 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

12 services12 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390203

Location595 West State StDoylestown, PA 18901 · Bucks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18912 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

19 suppliers59 claims160 services$6.08 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

13 suppliers29 claims35 services$1.09 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$12.89 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$62.29 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers12 claims12 services$14.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

NICOLE A CARSON PA

Physician Assistant

4897 YORK ROAD
BUCKINGHAM, PA 18912

Bucks County (215) 794-7471

KATY KINGSBURY C.R.N.P.

Nurse Practitioner

4897 YORK ROAD
BUCKINGHAM, PA 18912

Bucks County (215) 794-7471

ANGAD KHALSA PA

Physician Assistant (Medical)

4897 YORK ROAD, 278
BUCKINGHAM, PA 18912

Bucks County (215) 794-7471

ALYSSA HAWLEY SMALLWOOD CRNP

Nurse Practitioner (Family)

4897 YORK ROAD
BUCKINGHAM, PA 18912

Bucks County (215) 794-7471

DR. MARK LEE D.O.

Family Medicine

4897 YORK ROAD
BUCKINGHAM, PA 18912

Bucks County (215) 794-7471

BUCKINGHAM FAMILY MEDICINE

Family Medicine

4897 YORK ROAD, POST OFFICE BOX 278
BUCKINGHAM, PA 18912

Bucks County (215) 794-7471

OLIVIA BOUCHER

Family Medicine

4897 YORK ROAD
BUCKINGHAM, PA 18912

Bucks County (215) 794-7471

DR. TINA DEGNAN M.D.

Family Medicine

4897 YORK ROAD, BUCKINGHAM FAMILY MEDICINE
BUCKINGHAM, PA 18912

Bucks County (215) 794-7471

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 Paul Spiro's NPI number?

The NPI number for Paul Spiro is 1578548939. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Paul Spiro located?

Paul Spiro practices at 4897 York Road, Buckingham, PA 18912. The listed phone number is (215) 794-7471.

What is Paul Spiro's specialty?

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

Is Paul Spiro enrolled in Medicare?

Yes. Paul 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.

Is Paul Spiro affiliated with any hospitals?

According to CMS data, Paul Spiro is affiliated with Hospital Of Univ Of Pennsylvania and Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Paul Spiro was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.