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DR. JOHN A SPERTUS M.D.
NPI 1982603973
Internal Medicine - Cardiovascular Disease in Kansas City, MO

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
86.88/100
CMS Quality Rating
4320 WORNALL RD, SUITE 65, KANSAS CITY, MO 64111(816) 932-6100(816) 461-6586 Get Directions Write a Review

NPPES record last updated: November 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John A Spertus M.d. NPPES

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

DR. JOHN A SPERTUS M.D. (NPI 1982603973) is an individual cardiovascular disease provider in Kansas City, Missouri, licensed in Missouri (111506) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Truman Medical Center Hospital Hill, and is a graduate of University Of California, San Francisco School Of Medicine (1989).

NPPES Registry Identity

NPI1982603973
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JOHN A SPERTUSCredential: M.D.
Location Address4320 WORNALL RD, SUITE 65Kansas City, MO 64111-5941
Mailing Address901 E 104th St, Mailstop 400sKansas City, MO 64131 · (816) 502-7117 · Fax (816) 932-9670
Phone(816) 932-6100
Fax(816) 461-6586
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1989
Enumeration DateJuly 20, 2005
Last NPPES UpdateNovember 16, 2017
✔ NPI 1982603973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MO · 111506
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4320 WORNALL RD, Kansas City, MO 64111
Open in Google Maps ↗

Other Identifiers 4

Medicaid208478313MO
Medicaid100192820BKS
Medicare UPINF55918
Medicare ID-Type UnspecifiedF069626

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and more.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. John A Spertus 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 ID7719995513
PECOS Enrollment IDI20060404000684
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.

Hospital Affiliations CMS Care Compare

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

Truman Medical Center Hospital Hill

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260048
Location2301 Holmes StreetKansas City, MO 64108 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

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.

86.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.46
Promoting Interoperability100
Improvement Activities40
Cost57.71

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.

CARL D DIRKS MD
Internal Medicine
4320 WORNALL RD, SUITE 65
KANSAS CITY, MO 64111
Jackson County (816) 932-6100
SATISH PONNURU MD
Plastic Surgery
4320 WORNALL RD, SUITE 513
KANSAS CITY, MO 64111
Jackson County (816) 932-4549
DR. CONSTANTINE LAN FOTOPOULOS M.D.
Physical Medicine & Rehabilitation
4320 WORNALL RD, SUITE 610
KANSAS CITY, MO 64111
Jackson County (913) 319-7600
SAINT LUKE'S HOSPITAL PHYSICIAN BILLING SERVICES, LLC
Dermatology
4320 WORNALL RD, SUITE 513
KANSAS CITY, MO 64111
Jackson County (816) 932-4500
KARA BETH SCHNEWEIS PT
Physical Therapist
4320 WORNALL RD, SUITE 710
KANSAS CITY, MO 64111
Jackson County (816) 531-5570
DR. JUSTIN VAN MEETEREN DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4320 WORNALL RD, SUITE 50
KANSAS CITY, MO 64111
Jackson County (816) 931-3312
DR. RICHARD W LUSTIG D.O.
Internal Medicine
4320 WORNALL RD, SUITE 65
KANSAS CITY, MO 64111
Jackson County (816) 932-6100
EMILY JOHNSTON APRN
Nurse Practitioner (Family)
4320 WORNALL RD, SUITE 208
KANSAS CITY, MO 64111
Jackson County (816) 531-0552

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 Spertus's NPI number?

The NPI number for John Spertus is 1982603973. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is John Spertus located?

John Spertus practices at 4320 Wornall Rd Suite 65, Kansas City, MO 64111. The listed phone number is (816) 932-6100.

What is John Spertus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Spertus enrolled in Medicare?

Yes. John Spertus 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 John Spertus accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and Oscar Insurance Company list John Spertus 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 John Spertus affiliated with any hospitals?

According to CMS data, John Spertus is affiliated with Truman Medical Center Hospital Hill.

When was this NPI record last updated?

The NPPES record for John Spertus was last updated on November 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.