Active NPI
Spenser M Staub, MD
- Pulmonary Disease Physician
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- LL82915
- Practice address
- 300 Midtown Dr
Beaufort, SC 29906-5200 - Phone
- (843) 714-7308
- NPI assigned
- Jun 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | LL82915 | SC | Primary |
Addresses
Primary practice location
300 Midtown Dr
Beaufort, SC 29906-5200
Mailing address
169 Ashley Avenue
Musc Gme Office, Room 202, Muh, MSC 333
Charleston, SC 29425
Phone (843) 792-7365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LL82915 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | staubs@musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Medical University of South Carolina College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Midtown Dr
Beaufort, SC 29906-5200
Phone (843) 707-8020
Hospital & facility affiliations
- Beaufort County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 79.17
- Improvement activities
- 40
- Cost
- 69.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL82915 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians of SC, LLC | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Pulmonary Disease | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
122 Okatie Center Blvd N
Ste 300
Okatie, SC 29909
Phone (843) 707-8040
Interoperability endpoints
- spenser.staub.1@16436.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Pulmonary Disease Physician
- Okatie, SC
- NPI 1831764927
-
- Hospitalist Physician
- Charleston, SC
- NPI 1144877655
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Certified Registered Nurse Anesthetist
- Beaufort, SC
- NPI 1467423178
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1942861679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ASHLEY AVENUE",
"address_2": "MUSC GME OFFICE, ROOM 202, MUH, MSC 333",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29425",
"telephone_number": "843-792-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MIDTOWN DR",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299065200",
"telephone_number": "843-714-7308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUB",
"first_name": "SPENSER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SC",
"license": "LL82915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LL82915",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "staubs@musc.edu",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "169 Ashley Ave",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294258905",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.