1. Home
  2. Directory
  3. New York
  4. Yorktown Heights
  5. Emergency Medicine
  6. NPI Profile

JAMES SPENCER MD
NPI 1922172220
Emergency Medicine in Yorktown Heights, NY

Active since November 20, 2006PECOS Enrolled
84.14/100
CMS Quality Rating
225 VETERANS RD, YORKTOWN HEIGHTS, NY 10598(914) 302-8060 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James Spencer Md NPPES

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

JAMES SPENCER MD (NPI 1922172220) is an individual emergency medicine provider in Yorktown Heights, New York, licensed in New York (207255) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1996).

NPPES Registry Identity

NPI1922172220
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES SPENCERCredential: MD
Location Address225 VETERANS RDYorktown Heights, NY 10598-4436
Mailing Address225 Veterans RdYorktown Heights, NY 10598-4436
Phone(914) 302-8060
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1996
Enumeration DateNovember 20, 2006
Last NPPES UpdateMarch 29, 2012
✔ NPI 1922172220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 207255
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.
225 VETERANS RD, Yorktown Heights, NY 10598
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH19432NY
Medicare ID-Type Unspecified828451NY
Medicaid02085876NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Spencer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850477092
PECOS Enrollment IDI20080327000624
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 James Spencer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Medical Care, P.C.
6.3 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050
Optum Urgent Care, PLLC
36 mi
Urgent Care
555 N BROADWAY
Jericho, NY 11753
  • Reassigned Medicare billing, New York enrollment
  • 413 clinicians in this Medicare group
NPI 1285975797 (516) 622-6000

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 7

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.
86 services75 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
49 services46 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.
25 services25 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.
23 services22 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
21 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10598 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL MIKE ROTHBERG MD
Emergency Medicine
225 VETERANS RD, CARE MOUNT MEDICAL, PC
YORKTOWN HEIGHTS, NY 10598
Westchester County (914) 302-8060
INGRID MARIA BARONE FNP
Nurse Practitioner (Family)
225 VETERANS RD, URGENT CARE
YORKTOWN HTS, NY 10598
Westchester County (914) 241-1050
JANE CHAN, M.D., P.C.
Specialist
225 VETERANS RD, SUITE 201
YORKTOWN HEIGHTS, NY 10598
Westchester County (914) 962-1300
GINA GRECO-TARTAGLIA, MD PC
Specialist
225 VETERANS RD, SUITE 102
YORKTOWN HEIGHTS, NY 10598
Westchester County (914) 245-4186
MRS. ELLEN GIORGADZE FNP
Nurse Practitioner (Family)
225 VETERANS RD
YORKTOWN HEIGHTS, NY 10598
Westchester County (914) 241-1050
FREDERICK ALLEN WALTHER MD
Emergency Medicine
225 VETERANS RD, CAREMOUNT MEDICAL, PC
YORKTOWN HEIGHTS, NY 10598
Westchester County (914) 241-1050
KELLY MARRA FNP
Nurse Practitioner (Family)
225 VETERANS RD
YORKTOWN HEIGHTS, NY 10598
Westchester County (914) 302-8060
PATRICE SONARA DO
Emergency Medicine
225 VETERANS RD, MOUNT KISCO MEDICAL GROUP, PC
YORKTOWN HEIGHTS, NY 10598
Westchester County (914) 241-1050

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 James Spencer's NPI number?

The NPI number for James Spencer is 1922172220. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is James Spencer located?

James Spencer practices at 225 Veterans Rd, Yorktown Heights, NY 10598. The listed phone number is (914) 302-8060.

What is James Spencer's specialty?

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

Is James Spencer enrolled in Medicare?

Yes. James Spencer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Spencer reassigns Medicare benefits to 2 organizations: Optum Medical Care, P.C. (Mount Kisco, NY) and Optum Urgent Care, PLLC (Jericho, 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 James Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Spencer was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.