Paul Spellman, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

37183 Issued in KY

Practice address

85 N Grand Ave
Fort Thomas, KY 41075-1793

Phone

(859) 572-3617

Fax

(859) 572-2366

NPI assigned

Jul 23, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

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 2

Specialty

Emergency Medicine

Education

University of Louisville School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Compass Emergency Physicians PSCGroup PAC ID 8224350939, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
• Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
• St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086
• St Elizabeth Florence Hospital, Florence, KY, CCN 180045
• Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

Merit-based Incentive Payment System (MIPS)

Final score

93.13 of 100Reported as group

Quality

89.38

Improvement activities

40

Cost

79.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Compass Emergency Physicians PSC

  • Emergency Medicine Physician
  • Edgewood, KY
  • NPI 1841696739

  IN

  Medicare reassignment Care Compare group NPD
• Baptist Health Medical Group Inc

  • Urgent Care Clinic/Center
  • Louisville, KY
  • NPI 1508269200

  IN

  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  Medicare reassignment NPD
• Concord Company of Tennessee PLLC

  • Emergency Medicine Physician
  • Leitchfield, KY
  • NPI 1649743667

  IN

  Medicare reassignment NPD
• Western Healthcare Services Kentucky LLC

  • Emergency Medicine Physician
  • Jackson, KY
  • NPI 1770243842
  Medicare reassignment NPD
• Baptist Health Medical Group, Inc.

  • Family Medicine Physician
  • Jeffersonville, IN
  • NPI 1811648827

  Emergency Medicine

  NPD
• ER-Doc Inc

  • Emergency Medicine Physician
  • Sandusky, OH
  • NPI 1922092014
  NPD (past)

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

• Baptist Healthcare System Inc.

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1265539498
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Florence, KY
  • NPI 1154365062
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Edgewood, KY
  • NPI 1467492421
  Care Compare affiliation
• Baptist Healthcare System, Inc.

  • General Acute Care Hospital
  • New Albany, IN
  • NPI 1497798847
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Lawrenceburg, IN
  • NPI 1326142498
  Care Compare affiliation

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1790707628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18667",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410180667",
            "telephone_number": "859-572-3617",
            "fax_number": "859-572-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 N GRAND AVE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751793",
            "telephone_number": "859-572-3617",
            "fax_number": "859-572-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "37183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201046520",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64067853",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2250344",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill C. Smith, LPCC
• Matthew Smolecki, CPRS
• Michele Snellgrove
• Meghan Spaulding, LPCC
• Carly Speed, SLP
• Sperbeck Enterprises Inc.
• Mark Jason Sperbeck, D.C.
• Samonyca Spillman
• Spread Your Wings Developmental Services
• Sr Elizabeth Healthcare

• Emergency Medicine Physician in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.