DR. ANTHONY C SPEIGHTS M.D.
NPI 1275572489
Specialist in Panama City, FL


Quality Rating: 100 out of 100 score

NPI Status: Active since June 05, 2006

Contact Information

597 W 11TH ST
PANAMA CITY, FL
ZIP 32401
Phone: (850) 872-4455
Fax: (850) 747-5475

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  • Individual
  • Male
  • Years of Experience 25
  • Specialist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANTHONY SPEIGHTS

This page provides the complete NPI Profile along with additional information for Anthony Speights, a provider established in Panama City, Florida with a medical specialization in Specialist and more than 25 years of experience. He graduated from University Of South Florida College Of Medicine in 2001. The healthcare provider is registered in the NPI registry with number 1275572489 assigned on June 2006. The practitioner's primary taxonomy code is 174400000X with license number ME93313 (FL). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1275572489
Provider Name
DR. ANTHONY C SPEIGHTS M.D.
Gender
Male
Entity Type
Individual
Location Address
597 W 11TH ST PANAMA CITY, FL 32401
Location Phone
(850) 872-4455
Location Fax
(850) 747-5475
Mailing Address
597 W 11TH ST PANAMA CITY, FL 32401
Mailing Phone
(850) 872-4455
Mailing Fax
(850) 747-5475
Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
06-05-2006
Last Update Date
03-10-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
ME93313
License State
FL
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Capital Health Plan HMO Bronze 1000 - HMO
  • Capital Health Plan HMO Gold 3000 - HMO
  • Capital Health Plan HMO Gold 3100 - HMO
  • Capital Health Plan HMO Platinum 4000 - HMO
  • Capital Health Plan HMO Silver 2100 - HMO
  • Capital Health Plan HMO Silver 2300 - HMO
  • Connect Bronze 0 Indiv Med Deductible - EPO
  • Connect Bronze 5500 Indiv Med Deductible - EPO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold 800 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3600 Indiv Med Deductible - EPO
  • Connect Silver 4300 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
I43649MEDICARE UPIN (02) 
16661ZMEDICARE OSCAR/CERTIFICATION (06)FL 
016512700MEDICAID (05)FL 

Medicare Participation & PECOS Enrollment Status

Anthony Speights is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Anthony Speights is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6002832508

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20051024000151

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 97.58

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 99

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 100

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 100

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for DR. ANTHONY C SPEIGHTS M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275572489
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451074416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 0 + 7 + 4 + 4 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1275572489 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942363924MRS. CLAIRE M HENNINGER RD, LD
Individual
Dietitian, Registered597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4666
1588727598STATE OF FLORIDA, DOH, BCHD
Organization
Public Health or Welfare597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4666
1609849660FLORIDA DEPARTMENT OF HEALTH
Organization
Public Health or Welfare597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4455
1609844802 BEVERLY ANN TAYLOR ARNP
Individual
Nurse Practitioner (Family)597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4455
1588619019 MERFAT E HASSAN M.D.
Individual
General Practice597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4455
1376883082 CHRISTINA B HARDY ARNP
Individual
Nurse Practitioner597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4455
1255734547 PAMELA S MCGOWEN ARNP
Individual
Nurse Practitioner (Family)597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4455
1902272206 KARLA MILLS RN
Individual
Registered Nurse (Community Health)597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4455
1811492846FLORIDA DEPARTMENT OF HEALTH
Organization
Health Educator597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4455
1619473394 SAMANTHA LEIGH HORTON
Individual
Health Educator597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4444
1427557909 CHRISTINA M TRICKEY
Individual
Health Educator597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4557
1124596671 TAMMY MARIE FOWLER
Individual
Health Educator597 W 11TH ST
PANAMA CITY, FL 32401
(850) 252-9679
1033871116MRS. DIXIE MICHELLE WILLIAMS
Individual
Registered Nurse (Community Health)597 W 11TH ST
PANAMA CITY, FL 32401
(850) 252-9609
1922739044 KATHY ANN FOLMAR LIFESTYLE COACH
Individual
Health and Wellness Coach597 W 11TH ST
PANAMA CITY, FL 32401
(850) 252-9652
1730192220 ELIZABETH LANIUS TUCKER RD
Individual
Dietitian, Registered597 W 11TH ST
PANAMA CITY, FL 32401
(850) 252-9656
1780365668 LINDSAY DEVANE ALBANESE APRN
Individual
Nurse Practitioner (Family)597 W 11TH ST
PANAMA CITY, FL 32401
(850) 872-4455
1477358026MR. MILES T GRICE IV
Individual
Health Educator597 W 11TH ST
PANAMA CITY, FL 32401
(850) 252-9652

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275572489, enumerated in the NPI registry as an "individual" on June 05, 2006

The provider is located at 597 W 11th St Panama City, Fl 32401 and the phone number is (850) 872-4455

The provider's speciality is Specialist with taxonomy code 174400000X

The provider has more than 25 years of experience. He graduated from University Of South Florida College Of Medicine in 2001.

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Capital. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences, uses technology to exchange and make use of healthcare information , coordinates care and seeks improvement of health outcomes.

This NPI record was last updated on June 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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