DR. RICHARD MARC SPIRO MD
NPI 1790753622
Neurological Surgery in Buffalo, NY

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
90.03/100
CMS Quality Rating
462 GRIDER ST, BUFFALO, NY 14215(716) 898-6300 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2019, Aug 13, 2019, Feb 17, 2017 (3 updates tracked since 2017).

About Dr. Richard Marc Spiro Md NPPES

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

DR. RICHARD MARC SPIRO MD (NPI 1790753622) is an individual neurological surgery provider in Buffalo, New York, licensed in Pennsylvania (MD071222L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Erie County Medical Center, and maintains a secondary practice location in Butler.

NPPES Registry Identity

NPI1790753622
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. RICHARD MARC SPIROCredential: MD
Location Address462 GRIDER STBuffalo, NY 14215
Mailing Address40 George Karl BlvdWilliamsville, NY 14221-7183 · (716) 218-1000
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1998
Enumeration DateMarch 8, 2006
Last NPPES UpdateOctober 16, 20193 updates tracked since enumeration
✔ NPI 1790753622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in PA · MD071222L✔ Licensed in NY · 300246
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
462 GRIDER ST, Buffalo, NY 14215

Secondary Practice Location 1

Location 1127 Oneida Valley Rd, Suite 203Butler, PA 16001-2239 · Phone (855) 365-7274 · Fax (724) 778-1611

Other Identifiers 1

Medicaid0018360750006PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard Marc Spiro Md 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 ID1557251154
PECOS Enrollment IDI20190823002054
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 Richard Spiro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
462 GRIDER ST
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
Neurological Surgery
40 GEORGE KARL BLVD
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 61 clinicians in this Medicare group

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

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.
21 services17 patients

Hospital Affiliations CMS Care Compare

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

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14215 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

90.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.88
Improvement Activities40
Cost63.01

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.

Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215
Nurse Practitioner (Adult Health)
462 GRIDER ST
BUFFALO, NY 14215

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 1790753622. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Richard Spiro located?

Richard Spiro practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-6300.

What is Richard Spiro's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

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.

Which organizations bill Medicare for Richard Spiro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Spiro reassigns Medicare benefits to 2 organizations: Erie County Medical Center Corporation (Buffalo, NY) and University At Buffalo Neurosurgery, Inc. (Williamsville, NY). 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 Richard Spiro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Richard Spiro affiliated with any hospitals?

According to CMS data, Richard Spiro is affiliated with Erie County Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Spiro was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.