DR. DAVID SPENCER M.D.
NPI 1275678716
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Park Ridge, IL


Quality Rating: 93.36 out of 100 score

NPI Status: Active since February 21, 2007

Contact Information

1875 DEMPSTER ST
SUITE 425
PARK RIDGE, IL
ZIP 60068
Phone: (847) 698-9330
Fax: (847) 698-9198

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  • Individual
  • Male
  • Years of Experience 55
  • Orthopaedic Surgery
  • Orthopaedic Surgery of the Spine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About DAVID SPENCER

This page provides the complete NPI Profile along with additional information for David Spencer, a provider established in Park Ridge, Illinois with a medical specialization in Orthopaedic Surgery, focusing in orthopaedic surgery of the spine and more than 55 years of experience. He graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1971. The healthcare provider is registered in the NPI registry with number 1275678716 assigned on February 2007. The practitioner's primary taxonomy code is 207XS0117X with license number 036-048992 (IL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1275678716
Provider Name
DR. DAVID SPENCER M.D.
Gender
Male
Entity Type
Individual
Location Address
1875 DEMPSTER ST SUITE 425 PARK RIDGE, IL 60068
Location Phone
(847) 698-9330
Location Fax
(847) 698-9198
Mailing Address
1875 DEMPSTER ST SUITE 425 PARK RIDGE, IL 60068
Mailing Phone
(847) 698-9330
Mailing Fax
(847) 698-9198
Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year
1971
Is Sole Proprietor?
No
Enumeration Date
02-21-2007
Last Update Date
08-22-2019
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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

Orthopaedic Surgery Orthopaedic Surgery of the Spine

Taxonomy Code
207XS0117X
Type
Allopathic & Osteopathic Physicians
License No.
036-048992
License State
IL
Taxonomy Description
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Insurance Plans Accepted

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

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
  • BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (Rx Copay, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus (No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - 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
1952307092OTHER (01)ILNPI

Medicare Participation & PECOS Enrollment Status

David Spencer 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.

David Spencer 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: 8921005851

    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: I20101220000546

    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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 47 times for 36 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 37 times for 31 patients

Laminectomy or laminotomy (partial removal of spine bones)

A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.

This service was performed for 20 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 22 times for 22 patients

Spinal fusion

Spinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.

This service was performed for 1-10 patients

X-ray of lower and sacral spine, 2-3 views

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

This service was performed 33 times for 27 patients

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 93.36, 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: 93.36 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: 85.52

    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: N/A

    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: 97.19

    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: 97.19

    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.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Advance Care PlanningYesN/A
Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning.
Care coordination agreements that promote improvements in patient tracking across settingsYesN/A
Establish effective care coordination and active referral management that could include one or more of the following: Establish care coordination agreements with frequently used consultants that set expectations for documented flow of information and MIPS eligible clinician or MIPS eligible clinician group expectations between settings. Provide patients with information that sets their expectations consistently with the care coordination agreements; Track patients referred to specialist through the entire process; and/or Systematically integrate information from referrals into the plan of care.
Care transition documentation practice improvementsYesN/A
Implementation of practices/processes for care transition that include documentation of how a MIPS eligible clinician or group carried out a patient-centered action plan for first 30 days following a discharge (e.g., staff involved, phone calls conducted in support of transition, accompaniments, navigation actions, home visits, patient information access, etc.).
Closing the Referral Loop: Receipt of Specialist Report 23% 74
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
Collection and follow-up on patient experience and satisfaction data on beneficiary engagementYesN/A
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.
Documentation of Current Medications in the Medical Record 70% 1515
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 100% 653
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Falls: Screening for Future Fall Risk 80% 298
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Health Information Exchange 1% 116
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 3% 1367
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 86% 298
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 39% 811
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Influenza Immunization 60% 278
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 61% 33
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 65% 265
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD); OR - Adults aged >=21 years who have ever had a fasting or direct low-density lipoprotein cholesterol (LDL-C) level >= 190 mg/dL; OR - Adults aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL
Use of High-Risk Medications in the Elderly 2% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
298
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. David Spencer is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ADVOCATE LUTHERAN GENERAL HOSPITAL1775 DEMPSTER ST
PARK RIDGE, IL 60068
(847) 723-2210Acute Care Hospitals

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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.
1275678716
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451271672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 7 + 1 + 6 + 7 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1275678716 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487652129DR. JOSE MIGUEL GALVEZ MD
Individual
Obstetrics & Gynecology1875 DEMPSTER ST SUITE 145
PARK RIDGE, IL 60068
(847) 653-8406
1033119292DR. DAVID P TOJO MD
Individual
Otolaryngology (Otolaryngology/Facial Plastic Surgery)1875 DEMPSTER ST STE 301
PARK RIDGE, IL 60068
(847) 685-1000
1538169834DR. KEVIN L ZIFFRA MD
Individual
Otolaryngology (Otolaryngology/Facial Plastic Surgery)1875 DEMPSTER ST STE 301
PARK RIDGE, IL 60068
(847) 685-1000
1215938337 MILES LINSKY PH.D.
Individual
Psychologist1875 DEMPSTER ST #465
PARK RIDGE, IL 60068
(847) 825-0994
1578522108 BRUCE K CARLSON DDS
Individual
Dentist (General Practice)1875 DEMPSTER ST SUITE 495
PARK RIDGE, IL 60068
(847) 698-2331
1467410712DR. RICHARD L. NOREN M.D.
Individual
Anesthesiology1875 DEMPSTER ST SUITE 405
PARK RIDGE, IL 60068
(847) 723-2294
1669416756DR. BRUCE WILLIAM PIELET M.D
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)1875 DEMPSTER ST SUITE 325
PARK RIDGE, IL 60068
(847) 723-6985
1225072598DR. CAROL WITCRAFT BOOTH M.D.
Individual
Medical Genetics (Clinical Genetics (M.D.))1875 DEMPSTER ST SUITE 310
PARK RIDGE, IL 60068
(847) 723-7705
1093751075DR. DEBRA ANN RITA MD
Individual
Pediatrics1875 DEMPSTER ST
PARK RIDGE, IL 60068
(847) 723-7705
1063449924OBSTETRICS, GYNECOLOGY & INFERTILITY,S.C.
Organization
Specialist1875 DEMPSTER ST SUITE 245
PARK RIDGE, IL 60068
(847) 692-9234
1063449775DR. ISABEL GOMEZ MD
Individual
Obstetrics & Gynecology1875 DEMPSTER ST SUITE 340
PARK RIDGE, IL 60068
(847) 655-8500
1952334062 CARLA A LOLY M.D.
Individual
Obstetrics & Gynecology1875 DEMPSTER ST SUITE 245
PARK RIDGE, IL 60068
(847) 692-9234
1376576488 DORINA S SCAUNAS M.D.
Individual
Obstetrics & Gynecology1875 DEMPSTER ST SUITE 245
PARK RIDGE, IL 60068
(847) 692-9234
1154348720 JULIE C SNOW M.D.
Individual
Obstetrics & Gynecology1875 DEMPSTER ST SUITE 245
PARK RIDGE, IL 60068
(847) 692-9234
1184641763 JOSEPH P CAPEZIO M.D.
Individual
Obstetrics & Gynecology1875 DEMPSTER ST SUITE 245
PARK RIDGE, IL 60068
(847) 692-9234
1952320327DR. DANIEL J RESNICK MD
Individual
Surgery1875 DEMPSTER ST SUITE 280
PARK RIDGE, IL 60068
(847) 318-9071
1922027424DR. STEVEN BARRY ABERN M.D.
Individual
Specialist1875 DEMPSTER ST SUITE 560
PARK RIDGE, IL 60068
(847) 823-1001
1407879802DR. CHARLES KANAKIS MD
Individual
Internal Medicine (Cardiovascular Disease)1875 DEMPSTER ST SUITE 555
PARK RIDGE, IL 60068
(847) 698-5500
1891719142DR. SCOTT M MILLER MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)1875 DEMPSTER ST SUITE 555
PARK RIDGE, IL 60068
(847) 698-5500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275678716, enumerated in the NPI registry as an "individual" on February 21, 2007

The provider is located at 1875 Dempster St Suite 425 Park Ridge, Il 60068 and the phone number is (847) 698-9330

The provider's speciality is Orthopaedic Surgery with taxonomy code 207XS0117X with a focus in Orthopaedic Surgery of the Spine

The provider has more than 55 years of experience. He graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1971.

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. 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 , coordinates care and seeks improvement of health outcomes.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Laminectomy or laminotomy (partial removal of spine bones), New patient office or other outpatient visit, 30-44 minutes, Spinal fusion and X-ray of lower and sacral spine, 2-3 views.

The practitioner is affiliated to the following hospital(s): ADVOCATE LUTHERAN GENERAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on February 21, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.