Individual provider Active NPI

Jeffrey Edward Spoo, M.D.

  • Orthopaedic Surgery Physician
  • Santa Maria, CA
National Provider Identifier
1053374694
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G85800 Issued in CA
Practice address
2342 Professional Pkwy
#200
Santa Maria, CA 93455-1630
Phone
(805) 349-9545
Fax
(805) 349-8025
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G85800 CA Primary

Addresses

Primary practice location

2342 Professional Pkwy
#200
Santa Maria, CA 93455-1630

Mailing address

862 Meinecke Ave
Suite 100
San Luis Obispo, CA 93405-1721
Phone (805) 349-9545

Other identifiers 1

IdentifierTypeStateIssuer
00G858000MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001323 CA Practitioner - Orthopedic Surgery 2062401284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast Orthopedic Medical GroupGroup PAC ID 8426945916, 19 clinicians

Practice addresses (Care Compare)

2342 Professional Pkwy
Suite 200
Santa Maria, CA 93455-1690
Phone (805) 349-9545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)60
Upper limb (arm) arthroscopy (minimally invasive joint repair)24
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85800CAMDPharmacist
G85800CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Orthopedic Medical Group Orthopaedic Surgery CurrentSince Dec 31, 2003 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

921 Oak Park Blvd
Ste 204
Pismo Beach, CA 93449
Phone (805) 473-4949

2342 Professional Pkwy
Ste 200
Santa Maria, CA 93455
Phone (805) 349-9545

862 Meinecke Ave
Ste 100
Sn Luis Obisp, CA 93405
Phone (805) 541-4600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jspoo@ccomg1991.srs-direct.com
  • Direct secure messaging: jspoo@centralcoastortho.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1053374694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 MEINECKE AVE",
            "address_2": "SUITE 100",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051721",
            "telephone_number": "805-349-9545",
            "fax_number": "805-349-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "#200",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551630",
            "telephone_number": "805-349-9545",
            "fax_number": "805-349-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOO",
        "first_name": "JEFFREY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G85800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G858000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.