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DR. ROBERT S. SPIRA M.D.
NPI 1902877525
Specialist in Belleville, NJ

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
5 FRANKLIN AVE, SUITE 109, BELLEVILLE, NJ 07109(973) 759-7240(973) 759-7243 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert S. Spira M.d. NPPES

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

DR. ROBERT S. SPIRA M.D. (NPI 1902877525) is an individual specialist in Belleville, New Jersey, licensed in New Jersey (MA03877200) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of New York University School Of Medicine (1975).

NPPES Registry Identity

NPI1902877525
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ROBERT S. SPIRACredential: M.D.
Location Address5 FRANKLIN AVE, SUITE 109Belleville, NJ 07109-3532
Mailing Address5 Franklin Ave, Suite 109Belleville, NJ 07109-3532 · (973) 759-7240 · Fax (973) 759-7243
Phone(973) 759-7240
Fax(973) 759-7243
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1975
Enumeration DateJanuary 31, 2006
Last NPPES UpdateOctober 1, 2013
✔ NPI 1902877525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MA03877200
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5 FRANKLIN AVE, Belleville, NJ 07109
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINC63013NJ
Other202850753NJ · Blue Cross
Medicare ID-Type Unspecified0000092902NJ
Medicaid0070823NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Robert S. Spira 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 ID5597794008
PECOS Enrollment IDI20050809000830
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 9

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.
88 services67 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.
87 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
26 services26 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.
25 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

DR. ETAN B SPIRA M.D.
Internal Medicine (Gastroenterology)
5 FRANKLIN AVE, SUITE 109
BELLEVILLE, NJ 07109
Essex County (973) 759-7240
JOSEPH VICTOR LOBIONDO DPM
Podiatrist (Foot & Ankle Surgery)
5 FRANKLIN AVE, SUITE 106
BELLEVILLE, NJ 07109
Essex County (973) 759-1416
DR. JAHIR C SAMA M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
5 FRANKLIN AVE
BELLEVILLE, NJ 07109
Essex County (973) 844-0060
INTERNATIONAL ID ASSOCIATES LLC
Internal Medicine (Infectious Disease)
5 FRANKLIN AVE, STE 103
BELLEVILLE, NJ 07109
Essex County (973) 751-3399
DR. ELIZABETH LLAMERA DDS
Dentist
5 FRANKLIN AVE, SUITE 108
BELLEVILLE, NJ 07109
Essex County (973) 751-6600
JOSEPH R. DEPASQUALE MD
Specialist
5 FRANKLIN AVE, SUITE 109
BELLEVILLE, NJ 07109
Essex County (973) 759-7240
DR. ROBYN MEGLIO MD
Obstetrics & Gynecology
5 FRANKLIN AVE, SUITE # 310
BELLEVILLE, NJ 07109
Essex County (973) 759-4090
DR. RITA FARES KOMBOZ M.D
Specialist
5 FRANKLIN AVE, SUITE 403
BELLEVILLE, NJ 07109
Essex County (973) 844-0049

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 Robert Spira's NPI number?

The NPI number for Robert Spira is 1902877525. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Robert Spira located?

Robert Spira practices at 5 Franklin Ave Suite 109, Belleville, NJ 07109. The listed phone number is (973) 759-7240.

What is Robert Spira's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Robert Spira enrolled in Medicare?

Yes. Robert Spira 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 Robert Spira accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Robert Spira 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 Robert Spira affiliated with any hospitals?

According to CMS data, Robert Spira is affiliated with Clara Maass Medical Center and Jersey City Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Spira was last updated on October 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.