Paul Spiro, M.D.
NPI 1578548939 · Family Medicine Physician · Buckingham, PA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Spiro, M.D. is a Family Medicine Physician provider in Buckingham, PA (NPI 1578548939).
Provider details
- NPI number
- 1578548939
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD034236E (PA)
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
20 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
1,845 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 617 | $80 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 402 | $53 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 208 | $17 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 166 | $43 |
| Administration of Influenza Virus VaccineG0008 | 165 | $33 |
| Admn Sarscov2 Vacc 1 Dose |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 118 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 780 | 204 |
| Levothyroxine Sodium | 348 | 90 |
| Lisinopril | 331 | 83 |
| Amlodipine Besylate | 271 | 74 |
| Metoprolol Succinate | 198 | 42 |
| Pantoprazole Sodium | 194 | 38 |
| Simvastatin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$513 across 25 records (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
- 2005-12-08
- Last updated
- 2019-01-15
Frequently asked questions
- What is Paul Spiro's NPI number?
- Paul Spiro's National Provider Identifier (NPI) is 1578548939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Spiro's specialty?
- Paul Spiro is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Spiro located?
- Paul Spiro's practice location on file with NPPES is 4897 York Road, Buckingham, PA 18912.
- What is Paul Spiro's phone number?
- The practice phone number listed in the NPPES registry for Paul Spiro is (215) 794-7471.
- Does Paul Spiro accept Medicare?
- Paul Spiro is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Spiro's NPI active?
- Yes — Paul Spiro's NPI (1578548939) is active in the NPPES registry as of the last update on 2019-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.