DOUGLAS M SPAETH MD
NPI 1598708398
Hospitalist in Knoxville, TN
About Douglas M Spaeth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS M SPAETH MD (NPI 1598708398) is an individual hospitalist provider in Knoxville, Tennessee, licensed in Arizona (57754.) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Ohio State University College Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Douglas M Spaeth 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.
Medicare Billing Reassignments
4Medicare enrollment records show Douglas Spaeth reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seaman, OH 45679
- Reassigned Medicare billing, Ohio enrollment
- 894 clinicians in this Medicare group
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 474 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 309 clinicians in this Medicare group
Page, AZ 86040
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Banner Hospital Based Physicians Arizona LLC
- 1,081 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37919 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
KNOXVILLE, TN 37919
KNOXVILLE, TN 37919
KNOXVILLE, TN 37919
KNOXVILLE, TN 37919
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 Douglas Spaeth's NPI number?
The NPI number for Douglas Spaeth is 1598708398. It was assigned to this individual provider in the NPPES registry on June 13, 2006.
Where is Douglas Spaeth located?
Douglas Spaeth practices at 265 Brookview Centre Way Ste 400, Knoxville, TN 37919. The listed phone number is (800) 342-2898.
What is Douglas Spaeth's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Douglas Spaeth enrolled in Medicare?
Yes. Douglas Spaeth 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.
Which organizations bill Medicare for Douglas Spaeth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Spaeth reassigns Medicare benefits to 4 organizations: Emergency Professional Services, Inc. (Seaman, OH), Ohio Emergency Professionals Inc (Columbus, OH), Hospitalist Physicians Of Indiana, PC (Fort Wayne, IN) and Banner Physician Specialists Arizona LLC (Page, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Spaeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Spaeth accept?
Health plans from Blue Cross Blue Shield of Arizona and CareSource list Douglas Spaeth 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.
When was this NPI record last updated?
The NPPES record for Douglas Spaeth was last updated on November 18, 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.
# Douglas M Spaeth, MD · NPI 1598708398
Hospitalist physician in Knoxville, Tennessee. Individual provider, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1598708398 (Entity type: Individual)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 57754. (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 265 BROOKVIEW CENTRE WAY STE 400, Knoxville, TN 37919-4052
- **Phone:** (800) 342-2898
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Emergency Professional Services, Inc. (NPI 1093762353, Seaman, OH); Ohio Emergency Professionals Inc (NPI 1982983425, Columbus, OH); Hospitalist Physicians Of Indiana, PC (NPI 1306576277, Fort Wayne, IN); Banner Physician Specialists Arizona LLC (NPI 1366799355, Page, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 1990
## Record status
- **NPPES last updated:** November 18, 2020
- **Other identifiers:** Other 000000315934; Medicaid 0917897 (OH); Other P00075897
---
Source: [NPI Profile](https://npiprofile.com/npi/1598708398) · Data from the CMS NPPES public registry.