Individual provider Active NPI

Ira Spinner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Boynton Beach, FL
National Provider Identifier
1366556136
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2393 Issued in FL
Practice address
10075 Jog Rd
Ste 208
Boynton Beach, FL 33437-3536
Phone
(561) 734-4867
Fax
(561) 736-7433
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2393 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO2393 FL Primary
Foot Surgery Podiatrist 213ES0131X PO2393 FL

Addresses

Primary practice location

10075 Jog Rd
Ste 208
Boynton Beach, FL 33437-3536

Mailing address

10075 Jog Rd
Ste 208
Boynton Beach, FL 33437-3535
Phone (561) 734-4867

Other identifiers 2

IdentifierTypeStateIssuer
65312OtherFLBLUE CROSS BLUE SHIELD
390148300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000793 FL Practitioner - Podiatry 2769373281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ira Spinner DPM PAGroup PAC ID 0648220590, 3 clinicians

Practice addresses (Care Compare)

10075 Jog Rd
Suite 208
Boynton Beach, FL 33437-3536

10075 S Jog Rd
Boynton Beach, FL 33437-3536
Phone (561) 734-4867

Hospital & facility affiliations

  • #Freedom Home Health Home health agency, Boynton Beach, FL, CCN 109541
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue783
Removal of skin lesions1-10
Removal of nail tissue956
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2393FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ira Spinner DPM PA Podiatrist CurrentSince Jan 27, 2005 Accepting new patients

Locations

10075 S Jog Rd
Ste 208
Boynton Beach, FL 33437
Phone (561) 499-8048

Organizations & group practices 1

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 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1366556136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 JOG RD",
            "address_2": "STE 208",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373535",
            "telephone_number": "561-734-4867",
            "fax_number": "561-736-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 JOG RD",
            "address_2": "STE 208",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373536",
            "telephone_number": "561-734-4867",
            "fax_number": "561-736-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINNER",
        "first_name": "IRA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2393",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2393",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO2393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65312",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390148300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.