MR. SPENCER C POSHADLO PA-C
NPI 1760151112
Physician Assistant in Livonia, MI

Active since September 09, 2021PECOS EnrolledAccepts Medicare Assignment
36622 FIVE MILE RD STE 101, LIVONIA, MI 48154(734) 526-1791 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2024, Sep 9, 2021 (2 updates tracked since 2021).

About Mr. Spencer C Poshadlo Pa-c NPPES

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

MR. SPENCER C POSHADLO PA-C (NPI 1760151112) is an individual physician assistant in Livonia, Michigan, licensed in Michigan (5601010626) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and maintains a secondary practice location in Sterling Heights.

NPPES Registry Identity

NPI1760151112
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SPENCER C POSHADLOCredential: PA-C
Location Address36622 FIVE MILE RD STE 101Livonia, MI 48154-1900
Mailing Address500 Stephenson Hwy Ste 300Troy, MI 48083-1118 · (586) 439-6258
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2021
Enumeration DateSeptember 9, 2021
Last NPPES UpdateJune 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
NPI 1760151112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601010626
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

36622 FIVE MILE RD STE 101, Livonia, MI 48154

Secondary Practice Location 1

Location 135735 Mound Rd Ste 100Sterling Heights, MI 48310-4728 · Phone (586) 261-1960

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

Mr. Spencer C Poshadlo Pa-c 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 ID5092112573
PECOS Enrollment IDI20210927000871
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 6

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 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.
32 services32 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
26 services25 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
21 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 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.
17 services16 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48154 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 14

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

Non-Pharmacy Dispensing Site
36622 FIVE MILE RD STE 101
LIVONIA, MI 48154
Physician Assistant
36622 FIVE MILE RD STE 101
LIVONIA, MI 48154
Orthopaedic Surgery
36622 FIVE MILE RD STE 101
LIVONIA, MI 48154
Physician Assistant
36622 FIVE MILE RD STE 101
LIVONIA, MI 48154
Orthopaedic Surgery
36622 FIVE MILE RD STE 101
LIVONIA, MI 48154
Podiatrist
36622 FIVE MILE RD STE 101
LIVONIA, MI 48154
Orthopaedic Surgery
36622 FIVE MILE RD STE 101
LIVONIA, MI 48154
Neurological Surgery
36622 FIVE MILE RD STE 101
LIVONIA, MI 48154

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 Spencer Poshadlo's NPI number?

The NPI number for Spencer Poshadlo is 1760151112. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Spencer Poshadlo located?

Spencer Poshadlo practices at 36622 Five Mile Rd Ste 101, Livonia, MI 48154. The listed phone number is (734) 526-1791.

What is Spencer Poshadlo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Spencer Poshadlo enrolled in Medicare?

Yes. Spencer Poshadlo 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 Spencer Poshadlo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Spencer Poshadlo 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.

Is Spencer Poshadlo affiliated with any hospitals?

According to CMS data, Spencer Poshadlo is affiliated with St Joe Mercy Hospital System Livonia.

When was this NPI record last updated?

The NPPES record for Spencer Poshadlo was last updated on June 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.