1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Emergency Medicine
  6. NPI Profile

DR. MARK A SPANIER MD
NPI 1932175072
Emergency Medicine - Emergency Medical Services in Lexington, KY

Active since February 28, 2006PECOS Enrolled
75/100
CMS Quality Rating
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL EMERGENCY ROOM, LEXINGTON, KY 40503(859) 260-6180(859) 260-6693 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark A Spanier Md NPPES

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

DR. MARK A SPANIER MD (NPI 1932175072) is an individual emergency medical services provider in Lexington, Kentucky, licensed in Kentucky (KY37799) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932175072
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. MARK A SPANIERCredential: MD
Location Address1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL EMERGENCY ROOMLexington, KY 40503
Mailing AddressPo Box 1827, Central Emergency Physicians PscLexington, KY 40588 · (859) 277-8179 · Fax (859) 277-9320
Phone(859) 260-6180
Fax(859) 260-6693
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
✔ NPI 1932175072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in KY · KY37799
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 37799 (KY)
1740 NICHOLASVILLE RD, Lexington, KY 40503
Open in Google Maps ↗

Other Identifiers 1

Medicaid64069792KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark A Spanier Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 with high level of medical decision making 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.
284 services280 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
260 services221 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.
70 services69 patients
Emergency department visit with moderate level of medical decision making 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.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

MR. JAMES RANSOM ADAIR PA-C
Physician Assistant
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 277-8179
MR. DANNY LEE PERRY
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6659
TYLER BENNETT MCLAURINE
Hospitalist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6348
KENTUCKY BREAST IMAGING PLLC
Radiology (Diagnostic Radiology)
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL
LEXINGTON, KY 40503
Fayette County (877) 459-2290
BAPTIST PHYSICIANS LEXINGTON, INC
Internal Medicine
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6104
JOSHUA ADAM WIRTH
Nurse Practitioner (Family)
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6348
DR. LAYLA MAREFAT PHARMD
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6100
DR. THOMAS L BROSTER M.D.
Anesthesiology
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6100

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 Mark Spanier's NPI number?

The NPI number for Mark Spanier is 1932175072. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Mark Spanier located?

Mark Spanier practices at 1740 Nicholasville Rd Central Baptist Hospital Emergency Room, Lexington, KY 40503. The listed phone number is (859) 260-6180.

What is Mark Spanier's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Mark Spanier enrolled in Medicare?

Yes. Mark Spanier is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Spanier was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.