DR. PAUL SPELLMAN M.D.
NPI 1790707628
Emergency Medicine in Fort Thomas, KY
About Dr. Paul Spellman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL SPELLMAN M.D. (NPI 1790707628) is an individual emergency medicine provider in Fort Thomas, Kentucky, licensed in Kentucky (37183) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and is a graduate of University Of Louisville School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
Dr. Paul Spellman 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Dearborn Hospital
Acute Care Hospitals · Lawrenceburg, INSt Elizabeth Ft Thomas
Acute Care Hospitals · Fort Thomas, KYSt Elizabeth Edgewood
Acute Care Hospitals · Edgewood, KYSt Elizabeth Florence
Acute Care Hospitals · Florence, KYBaptist Health Louisville
Acute Care Hospitals · Louisville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41075 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.
FORT THOMAS, KY 41075
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 Paul Spellman's NPI number?
The NPI number for Paul Spellman is 1790707628. It was assigned to this individual provider in the NPPES registry on July 23, 2006.
Where is Paul Spellman located?
Paul Spellman practices at 85 N Grand Ave, Fort Thomas, KY 41075. The listed phone number is (859) 572-3617.
What is Paul Spellman's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Paul Spellman enrolled in Medicare?
Yes. Paul Spellman 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 Paul Spellman accept?
Health plans from CareSource list Paul Spellman 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 Paul Spellman affiliated with any hospitals?
According to CMS data, Paul Spellman is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and Baptist Health Louisville.
When was this NPI record last updated?
The NPPES record for Paul Spellman was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
