James Spoto, DO
NPI 1457563959 · Facial Plastic Surgery Physician · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Spoto, DO is a Facial Plastic Surgery Physician provider in Grand Rapids, MI (NPI 1457563959).
Provider details
- NPI number
- 1457563959
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101015501 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
517 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 155 | $61 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 88 | $76 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 84 | $63 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 53 | $90 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 34 | $168 |
| Removal of Impacted Ear Wax69210 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 82 | 32 |
| Ipratropium Bromide | 45 | 22 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 26 | 22 |
| Pilocarpine Hcl | 26 | — |
| Amoxicillin | 23 | 20 |
| Azelastine Hcl | 22 | — |
| Ciprofloxacin Hcl/Dexamethbrand: Ciprofloxacin-Dexamethasone | 20 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$19 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2017-12-05
Frequently asked questions
- What is James Spoto's NPI number?
- James Spoto's National Provider Identifier (NPI) is 1457563959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Spoto's specialty?
- James Spoto is listed in the NPPES registry with a primary specialty of Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is James Spoto located?
- James Spoto's practice location on file with NPPES is 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371.
- What is James Spoto's phone number?
- The practice phone number listed in the NPPES registry for James Spoto is (616) 252-5760.
- Does James Spoto accept Medicare?
- James Spoto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Spoto's NPI active?
- Yes — James Spoto's NPI (1457563959) is active in the NPPES registry as of the last update on 2017-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.