Michael Stewart Spicer, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME82521 Issued in FL

Practice address

7960 N Wickham Rd Ste 103
Viera, FL 32940-8096

Phone

(321) 428-4737

Fax

(321) 567-7542

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Rutgers New Jersey Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brevard Medical Dermatology, PAGroup PAC ID 4688999345, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Melbourne, FL, CCN 687040

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Brevard Medical Dermatology, PA

  • Dermatology Physician
  • Melbourne, FL
  • NPI 1649676669
  Medicare reassignment Care Compare group NPD Authorized official
• Space Coast Dermatology Clinic, PLLC

  • Clinic/Center
  • Merritt Island, FL
  • NPI 1043423189
  NPD (past)
• Arizona Associates in Dermatology and Cosmetic Surgery, LLC

  dba Arizona Dermatology Group

  • Dermatology Physician
  • Prescott, AZ
  • NPI 1659467397
  NPD (past)

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

• Ajl Nursing Services, LLC

  dba Concierge Home Care

  • Home Health Agency
  • Melbourne, FL
  • NPI 1184183022
  Care Compare affiliation

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1831176858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8057 SPYGLASS HILL RD",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408565",
            "telephone_number": "321-428-4737",
            "fax_number": "321-567-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 N WICKHAM RD STE 103",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408096",
            "telephone_number": "321-428-4737",
            "fax_number": "321-567-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "MICHAEL",
        "middle_name": "STEWART",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME82521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "70015967",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Dawn Sosa
• Space Coast Endodontics, PLLC
• Space Coast Lymphedema Clinic LLC
• Space Coast Pediatrics LLC
• Robin Marie Speck
• Tammy Star, LMHC
• Anh Stein Stein, MD
• Kai-Wyn Annika Sterling, CPHT
• Karen Marie Stewart, FNP-C
• Cecilia Joycelyn Stinson

• Dermatology Physician in Viera, FL
• Providers in Viera, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.