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PHILIP HUNTER SPOTTS M.D.
NPI 1619932795
Family Medicine in Baltimore, MD

Active since April 20, 2006PECOS Enrolled
8830 BELAIR RD, BALTIMORE, MD 21236(410) 529-9200 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Philip Hunter Spotts M.d. NPPES

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

PHILIP HUNTER SPOTTS M.D. (NPI 1619932795) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (D0053806) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619932795
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP HUNTER SPOTTSCredential: M.D.
Location Address8830 BELAIR RDBaltimore, MD 21236-2401
Mailing AddressPo Box 759047Baltimore, MD 21275-9047 · (804) 822-4355
Phone(410) 529-9200
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateFebruary 27, 2014
✔ NPI 1619932795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0053806
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.
8830 BELAIR RD, Baltimore, MD 21236
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Other Identifiers 5

Medicare PIN945L476EMD
Medicare PIN151568ZDDBMD
Medicare PIN214003YEBKPA
Medicare UPING86106MD
Medicare PIN331082YWV2MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip Hunter Spotts 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 Reassignment

Medicare enrollment records show Philip Spotts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke Health Integrated Practice, Inc
267 mi
Foot and Ankle Surgery
2609 N DUKE ST STE 301
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1518725936 (919) 477-9333

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 21236 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 18

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

PATIENT FIRST
Non-Pharmacy Dispensing Site
8830 BELAIR RD
BALTIMORE, MD 21236
Baltimore County (410) 529-9200
MELANIE J. MENDOZA M.D.
Family Medicine
8830 BELAIR RD
BALTIMORE, MD 21236
Baltimore County (410) 529-9200
MR. MICHAEL VINCENT KNEFEL PA-C
Physician Assistant
8830 BELAIR RD
BALTIMORE, MD 21236
Baltimore County (410) 529-9200
MS. KATHLEEN S WRONA PA-C
Physician Assistant
8830 BELAIR RD
BALTIMORE, MD 21236
Baltimore County (410) 529-9200
COURTNEY ANNE SANTILLO PURNELL
Physician Assistant
8830 BELAIR RD
BALTIMORE, MD 21236
Baltimore County (410) 529-9200
KASEY MOYER CHANOV PA-C
Physician Assistant
8830 BELAIR RD
BALTIMORE, MD 21236
Baltimore County (410) 529-9200
PATIENT FIRST MARYLAND MEDICAL GROUP PLLC
Family Medicine
8830 BELAIR RD
BALTIMORE, MD 21236
Baltimore County (410) 529-9200
ROXANNE CATHERINE ROBBINS PA-C
Physician Assistant
8830 BELAIR RD
BALTIMORE, MD 21236
Baltimore County (410) 529-9200

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 Philip Spotts's NPI number?

The NPI number for Philip Spotts is 1619932795. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Philip Spotts located?

Philip Spotts practices at 8830 Belair Rd, Baltimore, MD 21236. The listed phone number is (410) 529-9200.

What is Philip Spotts's specialty?

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

Is Philip Spotts enrolled in Medicare?

Yes. Philip Spotts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Philip Spotts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Spotts reassigns Medicare benefits to Duke Health Integrated Practice, Inc (Durham, NC). The 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 Philip Spotts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Spotts accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Philip Spotts 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 Philip Spotts was last updated on February 27, 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.