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ROBIN MICHELLE SPANGLER MD
NPI 1598940363
Family Medicine in Shamokin, PA

Active since December 29, 2007PECOS Enrolled
81.54/100
CMS Quality Rating
531 N FRANKLIN ST, SHAMOKIN, PA 17872(570) 486-4588(570) 486-4590 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2026, Jul 20, 2023 (2 updates tracked since 2023).

About Robin Michelle Spangler Md NPPES

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

ROBIN MICHELLE SPANGLER MD (NPI 1598940363) is an individual family medicine provider in Shamokin, Pennsylvania, licensed in Pennsylvania (MD044879E) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598940363
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROBIN MICHELLE SPANGLERCredential: MD
Location Address531 N FRANKLIN STShamokin, PA 17872-6754
Mailing Address63 Pitt StSharon, PA 16146-2102 · (570) 486-4588 · Fax (570) 486-4590
Phone(570) 486-4588
Fax(570) 486-4590
Sole ProprietorYes
Enumeration DateDecember 29, 2007
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1598940363 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 · MD044879E
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.
531 N FRANKLIN ST, Shamokin, PA 17872
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robin Michelle Spangler Md 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

2

Medicare enrollment records show Robin Spangler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Susquehanna Physician Services
37 mi
Family Medicine
900 PLAZA DR
Montoursville, PA 17754
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1477793172 (Pennsylvania)
  • 26 clinicians in this Medicare group
NPI 1023065885 (570) 368-8621
Primary Health Network
99 mi
Federally Qualified Health Center (FQHC)
620 HOWARD AVE
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 164 clinicians in this Medicare group
NPI 1063641470 (814) 942-5000

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 4

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.

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.
53 services37 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.
39 services30 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.
37 services31 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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17872 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

81.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.04
Promoting Interoperability100
Improvement Activities40
Cost63.42

Referred Medical Equipment & Supplies CMS DME claims

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

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 suppliers25 claims25 services$103.12 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 5

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

SARAH L PURCELL LPC
Counselor (Professional)
531 N FRANKLIN ST
SHAMOKIN, PA 17872
Northumberland County (570) 486-4588
PRIMARY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
531 N FRANKLIN ST
SHAMOKIN, PA 17872
Northumberland County (570) 486-4588
TATIANA DYAKONOVA CRNP
Nurse Practitioner (Family)
531 N FRANKLIN ST
SHAMOKIN, PA 17872
Northumberland County (570) 486-4588
SANJAY SEN MD PC
Internal Medicine
531 N FRANKLIN ST, SUITE A
SHAMOKIN, PA 17872
Northumberland County (570) 648-0000
DR. SANJAY K SEN MD
Internal Medicine
531 N FRANKLIN ST, SUITE A
SHAMOKIN, PA 17872
Northumberland County (570) 648-0000

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 Robin Spangler's NPI number?

The NPI number for Robin Spangler is 1598940363. It was assigned to this individual provider in the NPPES registry on December 29, 2007.

Where is Robin Spangler located?

Robin Spangler practices at 531 N Franklin St, Shamokin, PA 17872. The listed phone number is (570) 486-4588.

What is Robin Spangler's specialty?

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

Is Robin Spangler enrolled in Medicare?

Yes. Robin Spangler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robin Spangler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robin Spangler reassigns Medicare benefits to 2 organizations: Susquehanna Physician Services (Montoursville, PA) and Primary Health Network (Altoona, PA). 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 Robin Spangler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robin Spangler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Robin Spangler 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 Robin Spangler was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.