JEFFREY DAVID SPATZ MD
NPI 1811992415
Emergency Medicine in Cincinnati, OH

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
3131 QUEEN CITY AVE, CINCINNATI, OH 45238(513) 557-3333(513) 557-3332 Get Directions Write a Review

NPPES record last updated: April 27, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeffrey David Spatz Md NPPES

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

JEFFREY DAVID SPATZ MD (NPI 1811992415) is an individual emergency medicine provider in Cincinnati, Ohio, licensed in Ohio (35082688) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (2000).

NPPES Registry Identity

NPI1811992415
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJEFFREY DAVID SPATZCredential: MD
Location Address3131 QUEEN CITY AVECincinnati, OH 45238-2316
Mailing Address1472 Solutions CtrChicago, IL 60677-1004 · (513) 557-3333 · Fax (513) 557-3332
Fax(513) 557-3332
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2000
Enumeration DateJune 20, 2005
Last NPPES UpdateApril 27, 2008
NPI 1811992415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in OH · 35082688
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3131 QUEEN CITY AVE, Cincinnati, OH 45238

Other Identifiers 6

Medicaid640948241KY
Medicare UPINH89053
Medicare PIN4111933OH
Medicare PIN00182144OH
Medicaid2462115OH
Medicaid200507980IN

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

Jeffrey David Spatz 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 ID7416940879
PECOS Enrollment IDI20040403000211
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 4

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.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
455 services444 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
133 services132 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
76 services75 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
71 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360046
Location110 North Poplar StreetOxford, OH 45056 · Butler County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45238 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
82%55 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238

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 Jeffrey Spatz's NPI number?

The NPI number for Jeffrey Spatz is 1811992415. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Jeffrey Spatz located?

Jeffrey Spatz practices at 3131 Queen City Ave, Cincinnati, OH 45238. The listed phone number is (513) 557-3333.

What is Jeffrey Spatz's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jeffrey Spatz enrolled in Medicare?

Yes. Jeffrey Spatz 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.

Is Jeffrey Spatz affiliated with any hospitals?

According to CMS data, Jeffrey Spatz is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Jeffrey Spatz was last updated on April 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.