Patrick Spalding, MD
NPI 1659454221 · Obstetrics & Gynecology Physician · Pismo Beach, CA
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Patrick Spalding, MD is a Obstetrics & Gynecology Physician provider in Pismo Beach, CA (NPI 1659454221).
Provider details
- NPI number
- 1659454221
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- G83816 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
337 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 160 | $89 |
| Cervical Or Vaginal Cancer Screening; Pelvic and Clinical Breast ExaminationG0101 | 73 | $38 |
| Screening Papanicolaou Smear; Obtaining, Preparing and Conveyance of Cervical Or Vaginal Smear to LaboratoryQ0091 | 69 | $45 |
| Fitting and Insertion of Vaginal Support Device57160 | 24 | $73 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 11 | $109 |
Typical Medicare-allowed amounts for these services range $38–$109 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 295 | 111 |
| Progesterone, Micronizedbrand: Progesterone | 25 | — |
| Valacyclovir Hclbrand: Valacyclovir | 16 | — |
| Estradiolbrand: Estring | 13 | — |
| Zolpidem Tartrate | 12 | — |
| Clobetasol Propionate | 12 | — |
| Fluconazole | 12 | — |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2012-07-19
Frequently asked questions
- What is Patrick Spalding's NPI number?
- Patrick Spalding's National Provider Identifier (NPI) is 1659454221, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patrick Spalding's specialty?
- Patrick Spalding is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Patrick Spalding located?
- Patrick Spalding's practice location on file with NPPES is 2 James Way, Pismo Beach, CA 93449-4973.
- What is Patrick Spalding's phone number?
- The practice phone number listed in the NPPES registry for Patrick Spalding is (805) 773-3060.
- Does Patrick Spalding accept Medicare?
- Patrick Spalding is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Patrick Spalding's NPI active?
- Yes — Patrick Spalding's NPI (1659454221) is active in the NPPES registry as of the last update on 2012-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.