Individual provider Active NPI

Jeffrey N Spaw, MD

  • Orthopaedic Surgery Physician
  • College Station, TX
National Provider Identifier
1740239979
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J6735 Issued in TX
Practice address
1451 Greens Prairie Rd W Ste 200
College Station, TX 77845
Phone
(979) 999-1838
Fax
(877) 793-6195
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 J6735 TX Primary

Addresses

Primary practice location

1451 Greens Prairie Rd W Ste 200
College Station, TX 77845

Mailing address

1451 Greens Prairie Rd W Ste 200
College Station, TX 77845-8794
Phone (979) 999-1838

Other practice location 1

1451 Greens Prairie Rd W Ste 200
College Station, TX 77845
Phone (979) 999-1838

Other identifiers 8

IdentifierTypeStateIssuer
138555115MedicaidTX
8H9135OtherTXBCBS
137248402OtherTXMEDICAID GROUP
138555114MedicaidTX
8AA855OtherTXBLUE CROSS
CL0719OtherTXMEDICARE LAB
00E697OtherTXMEDICARE GROUP
P00369919OtherTXRR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070125000044 TX Practitioner - Orthopedic Surgery 7911988894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas a & M University System, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 Medical Park LN
Suite D
Huntsville, TX 77340-4957
Phone (936) 400-7221

Hospital & facility affiliations

  • Benchmark Home Health, LLC Home health agency, Montgomery, TX, CCN 679340
  • Stat Home Health Houston LLC Home health agency, Huntsville, TX, CCN 458398
  • Accentcare Home Health of College Station Home health agency, College Station, TX, CCN 679189
  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as apm
Quality
69.69
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)15
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6735TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Orthopaedic Surgery CurrentSince Feb 1, 2009 Accepting new patients
Huntsville Community Hospital, Inc. Current Accepting new patients
Huntsville Community Hospital, Inc. Orthopaedic Surgery CurrentSince Nov 29, 2021 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Feb 1, 2009 Accepting new patients
Huntsville Community Hospital, Inc. CurrentSince Nov 29, 2021 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients

Locations

600 N Park St
Brenham, TX 77833
Phone (409) 836-6153

125 Medical Park Ln
Ste D
Huntsville, TX 77340
Phone (936) 400-7221

125 Medical Park Ln
Ste C
Huntsville, TX 77340
Phone (936) 291-3219

Interoperability endpoints

  • Direct secure messaging: hmhjspaw@yourcarecommunity.org
  • Direct secure messaging: jeffrey.spaw.1@13218.direct.athenahealth.com

Organizations & group practices 6

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1740239979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 GREENS PRAIRIE RD W STE 200",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458794",
            "telephone_number": "979-999-1838",
            "fax_number": "877-793-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 GREENS PRAIRIE RD W STE 200",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-999-1838",
            "fax_number": "877-793-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 Greens Prairie Rd W Ste 200",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "77845",
            "country_code": "US",
            "telephone_number": "979-999-1838",
            "fax_number": "877-793-6195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAW",
        "first_name": "JEFFREY",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J6735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138555115",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H9135",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "137248402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138555114",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8AA855",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LAB",
            "identifier": "CL0719",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00E697",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "P00369919",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.