JAMES REID SPIRES JR. M.D.
NPI 1992799571
Otolaryngology in Mobile, AL

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
81.59/100
CMS Quality Rating
3701 DAUPHIN ST, MOBILE, AL 36608(251) 341-3368(251) 341-3371 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Reid Spires Jr. M.d. NPPES

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

JAMES REID SPIRES JR. M.D. (NPI 1992799571) is an individual otolaryngology provider in Mobile, Alabama, licensed in Alabama (13203) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1981).

NPPES Registry Identity

NPI1992799571
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJAMES REID SPIRES JR.Credential: M.D.
Location Address3701 DAUPHIN STMobile, AL 36608-1756
Mailing Address2880 Dauphin StMobile, AL 36606-2457 · (251) 473-1900 · Fax (251) 470-8943
Fax(251) 341-3371
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1981
Enumeration DateSeptember 9, 2005
Last NPPES UpdateNovember 20, 2007
NPI 1992799571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in AL · 13203
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3701 DAUPHIN ST, Mobile, AL 36608

Other Identifiers 4

Other4006758AL · Aetna Provider #
Other51034530AL · Blue Cross Provider #
OtherC71291AL · Healthspring Provider #
Medicare UPINC71291

Accepted 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

James Reid Spires Jr. 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 ID9739172487
PECOS Enrollment IDI20061017000297
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 15

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,645 services22 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
832 services13 patients
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.
184 services140 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.
84 services84 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
74 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
51 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36608 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

81.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.45
Promoting Interoperability76
Improvement Activities40
Cost65.2

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.

Otolaryngology
3701 DAUPHIN ST
MOBILE, AL 36608
Ophthalmology
3701 DAUPHIN ST
MOBILE, AL 36608
Ophthalmology
3701 DAUPHIN ST
MOBILE, AL 36608
Otolaryngology
3701 DAUPHIN ST
MOBILE, AL 36608
Ophthalmology
3701 DAUPHIN ST
MOBILE, AL 36608
Ophthalmology
3701 DAUPHIN ST
MOBILE, AL 36608
Audiologist
3701 DAUPHIN ST
MOBILE, AL 36608
Otolaryngology
3701 DAUPHIN ST
MOBILE, AL 36608

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 Spires's NPI number?

The NPI number for James Spires is 1992799571. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is James Spires located?

James Spires practices at 3701 Dauphin St, Mobile, AL 36608. The listed phone number is (251) 341-3368.

What is James Spires's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Spires enrolled in Medicare?

Yes. James Spires 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 James Spires accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list James Spires 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 James Spires was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.