TED H SPOONER
NPI 1932188653
Surgery in St Louis Park, MN

Q: What is Ted Spooner's NPI number?

The NPI number for Ted Spooner is 1932188653. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Q: What is Ted Spooner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Ted Spooner was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since January 11, 2006PECOS Enrolled

6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER, ST LOUIS PARK, MN 55426(952) 993-3246(952) 993-3010 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ted H Spooner NPPES

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

TED H SPOONER (NPI 1932188653) is an individual surgery provider in St Louis Park, Minnesota, licensed in Minnesota (31959) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932188653

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameTED H SPOONER

Location Address6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTERSt Louis Park, MN 55426-4702

Mailing Address6465 Wayzata Blvd, Ste 315St Louis Park, MN 55426-1728 · (952) 993-7169 · Fax (952) 993-0300

Phone(952) 993-3246

Fax(952) 993-3010

Sole ProprietorNo

Enumeration DateJanuary 11, 2006

Last NPPES UpdateOctober 7, 2011

✔ NPI 1932188653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MN · 31959

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

6500 EXCELSIOR BLVD, St Louis Park, MN 55426

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ted H Spooner 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.

Medicare Billing Reassignment

Medicare enrollment records show Ted Spooner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Methodist Hospital

0.8 mi

General Acute Care Hospital

3900 PARK NICOLLET BLVD
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Park Nicollet Clinic
2,527 clinicians in this Medicare group

NPI 1194113217 (952) 993-1953

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 55426 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NANCY COLE NELSON M.D.

Obstetrics & Gynecology

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3282

DR. KATIE LYNN ANDRINAS MD, MPH

Obstetrics & Gynecology

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3282

CARA HOULE MD

Internal Medicine

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5000

JANET GRAYSON MD

Internal Medicine

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6600

JEFFREY J SHULTZ

Internal Medicine (Cardiovascular Disease)

6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3246

MARY BETH JOHNSON OTR/L

Occupational Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6087

MARY KATHERINE KOSANDA P.T.

Physical Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6014

JENNIFER A DEUTZ P.T.

Physical Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5900

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 Ted Spooner's NPI number?

The NPI number for Ted Spooner is 1932188653. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Ted Spooner located?

Ted Spooner practices at 6500 Excelsior Blvd Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426. The listed phone number is (952) 993-3246.

What is Ted Spooner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ted Spooner enrolled in Medicare?

Yes. Ted Spooner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ted Spooner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ted Spooner reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). 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 Ted Spooner'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 Ted Spooner was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.