DR. JOHN EDWARD SPAULDING JR. M.D.
NPI 1912918897
Emergency Medicine in Emeryville, CA
About Dr. John Edward Spaulding Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN EDWARD SPAULDING JR. M.D. (NPI 1912918897) is an individual emergency medicine provider in Emeryville, California, licensed in Georgia (42448) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John Edward Spaulding Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Spaulding reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Decatur, GA 30033
- Reassigned Medicare billing, Georgia enrollment
- 128 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94608 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.
EMERYVILLE, CA 94608
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 John Spaulding's NPI number?
The NPI number for John Spaulding is 1912918897. It was assigned to this individual provider in the NPPES registry on August 10, 2006.
Where is John Spaulding located?
John Spaulding practices at 2100 Powell St Suite 900, Emeryville, CA 94608. The listed phone number is (510) 350-2600.
What is John Spaulding's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is John Spaulding enrolled in Medicare?
Yes. John Spaulding is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Spaulding's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Spaulding reassigns Medicare benefits to Cep America LLC (Decatur, GA). The 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 John Spaulding's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Spaulding accept?
Health plans from Oscar Health and Oscar Insurance Company list John Spaulding 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.
When was this NPI record last updated?
The NPPES record for John Spaulding was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. John Edward Spaulding Jr., M.D. · NPI 1912918897
Emergency Medicine physician in Emeryville, California. Individual provider, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1912918897 (Entity type: Individual)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 42448 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 POWELL ST, SUITE 900, Emeryville, CA 94608-1826
- **Phone:** (510) 350-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cep America LLC (NPI 1215982814, Decatur, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1912918897) · Data from the CMS NPPES public registry.