Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RICHARD SPIRO M.D.
NPI 1679510374
Psychiatry & Neurology - Psychiatry in Milton, MA

Active since June 01, 2006PECOS Enrolled
68.57/100
CMS Quality Rating
100 HIGHLAND ST, STE 109 MILTON MEDICAL BUILDING, MILTON, MA 02186(617) 698-6105 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Spiro M.d. NPPES

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

RICHARD SPIRO M.D. (NPI 1679510374) is an individual psychiatry provider in Milton, Massachusetts, licensed in Massachusetts (70969) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1679510374
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRICHARD SPIROCredential: M.D.
Location Address100 HIGHLAND ST, STE 109 MILTON MEDICAL BUILDINGMilton, MA 02186-3881
Mailing Address100 Highland St, Suite 109Milton, MA 02186-3881 · (617) 698-6105
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 1, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1679510374 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 MA · 70969
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.
100 HIGHLAND ST, Milton, MA 02186

Accepted 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

Richard 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 ID9739177502
PECOS Enrollment IDI20040503000508
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 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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
158 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02186 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

68.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.85
Improvement Activities40
Cost33.86

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.

Internal Medicine
100 HIGHLAND ST
MILTON, MA 02186
Nurse Practitioner (Family)
100 HIGHLAND ST, SUITE 123
MILTON, MA 02186
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 HIGHLAND ST
MILTON, MA 02186
Internal Medicine (Rheumatology)
100 HIGHLAND ST, SUITE 300
MILTON, MA 02186
Dietitian, Registered
100 HIGHLAND ST
MILTON, MA 02186
Internal Medicine (Pulmonary Disease)
100 HIGHLAND ST, STE 103
MILTON, MA 02186
Internal Medicine
100 HIGHLAND ST, SUITE 300
MILTON, MA 02186
Physician Assistant (Medical)
100 HIGHLAND ST, SUITE 300
MILTON, MA 02186

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 Richard Spiro's NPI number?

The NPI number for Richard Spiro is 1679510374. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Richard Spiro located?

Richard Spiro practices at 100 Highland St Ste 109 Milton Medical Building, Milton, MA 02186. The listed phone number is (617) 698-6105.

What is Richard Spiro's specialty?

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

Is Richard Spiro enrolled in Medicare?

Yes. Richard 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.

What insurance does Richard Spiro accept?

Health plans from Anthem Blue Cross and Blue Shield list Richard Spiro 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 Richard Spiro was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.