Antonio D. Spates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01090061A Issued in IN

Practice address

411 W Tipton St
Seymour, IN 47274-2363

Phone

(812) 519-2388

Fax

(812) 519-3182

NPI assigned

Apr 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

General Surgery

Education

University of Missouri, Columbia School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson County Schneck Memorial HospitalGroup PAC ID 8224004585, 139 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Schneck Medical Center Hospital, Seymour, IN, CCN 150065

Merit-based Incentive Payment System (MIPS)

Final score

93.97 of 100Reported as apm

Quality

85.1

Promoting interoperability

94.69

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aspates30268@summahealth-direct.org

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.

• Jackson County Schneck Memorial Hospital

  • Anesthesiology Physician
  • Seymour, IN
  • NPI 1629143037
  Medicare reassignment Care Compare group NPD
• Seymour Indiana Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Seymour, IN
  • NPI 1124237987
  NPD (past)

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

• Jackson County Schneck Memorial Hospital

  • General Acute Care Hospital
  • Seymour, IN
  • NPI 1699738088
  Care Compare affiliation

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1790281095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363",
            "telephone_number": "812-519-2388",
            "fax_number": "812-519-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363",
            "telephone_number": "812-519-2388",
            "fax_number": "812-519-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATES",
        "first_name": "ANTONIO",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01090061A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Indiana Primary Care, LLC
• Southern Indiana Womens Center, LLC
• Amanda Marie Souza, DO
• Christine Nichole Sova Shaver
• Christopher F Spalding, MD
• Aaron C Spesard, MD
• Joyce Adams Spurgeon, M.D.
• Staats Education Services, LLC
• Kirby Elizabeth Stacks, NP-C
• Jamah Stahl, PA-C

• Surgery Physician in Seymour, IN
• Providers in Seymour, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.