DR. EMAN GIBRAL SPAULDING M.D.
NPI 1750571840
Emergency Medicine in St. Louis, MO
NPI Status: Active since July 26, 2007
- Individual
- Male
- Years of Experience 19
- Emergency Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About EMAN SPAULDING
This page provides the complete NPI Profile along with additional information for Eman Spaulding, a provider established in St. Louis, Missouri with a medical specialization in Emergency Medicine and more than 19 years of experience. He graduated from Meharry Medical College School Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1750571840 assigned on July 2007. The practitioner's primary taxonomy code is 207P00000X with license number 2011035900 (MO). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1750571840
- Provider Name
- DR. EMAN GIBRAL SPAULDING M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3635 VISTA AVE ST. LOUIS, MO 63110
- Location Phone
- (314) 577-8000
- Mailing Address
- 9776 TWIN VISTA DR SAINT LOUIS, MO 63126
- Mailing Phone
- (615) 491-3688
- Medical School Name
- MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
- Graduation Year
- 2007
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-26-2007
- Last Update Date
- 08-16-2023
- Code Navigator
Location Map
Secondary Locations
- 5325 Faraon St
Saint Joseph, MO 64506
(816) 271-6122
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2011035900
- License State
- MO
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Bronze Exp Standardized - PPO
- Bronze Value - PPO
- Gold Standardized - PPO
- Silver AH - PPO
- Silver Standardized - PPO
- Silver Value - PPO
- Dental Gold - PPO
- Dental Gold Plus Vision - PPO
- Dental Pediatric - PPO
- Dental Platinum - PPO
- HA Bronze Exp Standardized - POS
- HA Bronze Suitcase - POS
- HA Gold Standardized - POS
- HA Silver AH - POS
- HA Silver Premier Suitcase - POS
- HA Silver Standardized - POS
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - EPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Octave Bronze Exp Standardized - POS
- Octave Bronze Value - POS
- Octave Gold Standardized - POS
- Octave Silver AH - POS
- Octave Silver Classic Suitcase - POS
- Octave Silver Standardized - POS
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Eman Spaulding 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.
Eman Spaulding 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: 4284891862
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: I20120209000387
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.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 220 times for 218 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 75 times for 74 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 47 times for 47 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 18 times for 18 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.58 for a new patient copayment and $24.59 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 63110 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.32
- Minimum New Patient Price $55.65
- Maximum New Patient Price $169.38
- Average New Patient Copayment $21.58
- Minimum New Patient Copayment $13.91
- Maximum New Patient Copayment $42.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.37
- Minimum Established Patient Price $17.76
- Maximum Established Patient Price $137.92
- Average Established Patient Copayment $24.59
- Minimum Established Patient Copayment $4.44
- Maximum Established Patient Copayment $34.48
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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 |
|---|---|---|
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
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. Eman Spaulding is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ADVENTHEALTH SEBRING | 4200 SUN N LAKE BLVD SEBRING, FL 33872 | (863) 314-4466 | Acute Care Hospitals | |
| LAKE REGIONAL HEALTH SYSTEM | 54 HOSPITAL DRIVE OSAGE BEACH, MO 65065 | (573) 348-8000 | Acute 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. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 7 | 1 | 8 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 7 | 2 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 7 + 2 + 8 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750571840 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891790689 | MS. RAJESWARI CHINTAPALLI MD Individual | Anesthesiology | 3635 VISTA AVE SAINT LOUIS, MO 63110 (314) 577-8750 |
| 1033162094 | NECAT HAVLIOGLU MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3635 VISTA AVE SAINT LOUIS UNIVERSITY PATHOLOGY SERVICES SAINT LOUIS, MO 63110 (314) 577-8475 |
| 1538102561 | LISA J ALDERSON M.D. Individual | Specialist | 3635 VISTA AVE FDT 13TH FLOOR SAINT LOUIS, MO 63110 (314) 577-8894 |
| 1275558082 | FARID J AZZAM MD Individual | Anesthesiology | 3635 VISTA AVE SAINT LOUIS, MO 63110 (314) 577-8750 |
| 1720005309 | DOUGLAS M JEFFERS DO Individual | Anesthesiology | 3635 VISTA AVE SAINT LOUIS, MO 63110 (314) 577-8750 |
| 1972523322 | MICHAEL K WOLVERSON MD Individual | Radiology (Diagnostic Radiology) | 3635 VISTA AVE SAINT LOUIS, MO 63110 (314) 268-5783 |
| 1356359228 | SHARON E FREY MD Individual | Internal Medicine (Infectious Disease) | 3635 VISTA AVE SAINT LOUIS, MO 63110 (314) 977-5500 |
| 1194735282 | NUMAN C BALCI MD Individual | Radiology (Diagnostic Radiology) | 3635 VISTA AVE SAINT LOUIS, MO 63110 (314) 268-5783 |
| 1053426809 | MRS. JOAN FRANCES OSTERLOH APN Individual | Clinical Nurse Specialist (Medical-Surgical) | 3635 VISTA AVE SAINT LOUIS, MO 63110 (314) 577-8341 |
| 1578664538 | MELDA S. DOLAN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 3635 VISTA AVE 14TH FLOOR SAINT LOUIS, MO 63110 (314) 577-8890 |
| 1811082530 | LAURIE E. BYRNE M.D. Individual | Emergency Medicine | 3635 VISTA AVE WEST PAVILION, ROOM 315 SAINT LOUIS, MO 63110 (314) 577-8776 |
| 1962598839 | PREETI DALAWARI M.D. Individual | Emergency Medicine | 3635 VISTA AVE WEST PAVILION, ROOM 315 SAINT LOUIS, MO 63110 (314) 577-8776 |
| 1477649325 | CARL M KRAEMER M.D. Individual | Emergency Medicine | 3635 VISTA AVE WEST PAVILION, ROOM 315 SAINT LOUIS, MO 63110 (314) 577-8776 |
| 1760578702 | CRAIG E. KRAUSZ M.D. Individual | Emergency Medicine | 3635 VISTA AVE WEST PAVILION, ROOM 315 SAINT LOUIS, MO 63110 (314) 577-8776 |
| 1750478491 | KATRINA R WADE M.D. Individual | Emergency Medicine | 3635 VISTA AVE WEST PAVILION, ROOM 315 SAINT LOUIS, MO 63110 (314) 577-8776 |
| 1871680520 | DEBORAH K CONNON M.D. Individual | Emergency Medicine | 3635 VISTA AVE WEST PAVILION, RM 315 SAINT LOUIS, MO 63110 (314) 577-8776 |
| 1518047406 | DR. MICHAEL J FORSBERG M.D. Individual | Internal Medicine (Cardiovascular Disease) | 3635 VISTA AVE 13TH FLOOR FDT SAINT LOUIS, MO 63110 (314) 577-8881 |
| 1659450898 | MISS LISA GAYE DALEY APRN, BC Individual | Nurse Practitioner (Acute Care) | 3635 VISTA AVE SAINT LOUIS, MO 63110 (314) 577-8000 |
| 1356471510 | CHERI SHANTEL WINN RN Individual | Registered Nurse (Critical Care Medicine) | 3635 VISTA AVE SAINT LOUIS, MO 63110 (314) 577-8000 |
| 1982729950 | MICHELLE SUSAN ADORJAN ACNP Individual | Nurse Practitioner (Acute Care) | 3635 VISTA AVE SAINT LOUIS, MO 63110 (314) 577-8309 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750571840, enumerated in the NPI registry as an "individual" on July 26, 2007
The provider is located at 3635 Vista Ave St. Louis, Mo 63110 and the phone number is (314) 577-8000
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider has more than 19 years of experience. He graduated from Meharry Medical College School Of Medicine in 2007.
The provider might be accepting Accepts: Aetna CVS Health, Arkansas Blue Cross and Blue. 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.
Medicare beneficiaries should expect a typical cost of $86.32 with an average copayment of $21.58 for new patient appointments. Established patients should expect a typical charge of $98.37 and an average copayment of 24.59. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
The practitioner is affiliated to the following hospital(s): ADVENTHEALTH SEBRING and LAKE REGIONAL HEALTH SYSTEM. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 26, 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].
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