Paul Spellman, M.D.
NPI 1790707628 · Emergency Medicine Physician · Fort Thomas, KY
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Spellman, M.D. is a Emergency Medicine Physician provider in Fort Thomas, KY (NPI 1790707628).
Provider details
- NPI number
- 1790707628
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 37183 (KY)
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
639 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 234 | $169 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 194 | $8 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 110 | $117 |
| Critical Care, First 30-74 Minutes99291 | 87 | $204 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 14 | $68 |
Typical Medicare-allowed amounts for these services range $8–$204 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 |
|---|---|---|
| Prednisone | 42 | 42 |
| Ondansetronbrand: Ondansetron Odt | 25 | 24 |
| Cephalexin | 24 | 24 |
| Azithromycin | 23 | 23 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 17 | 17 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 15 | 15 |
| Cyclobenzaprine Hcl | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$21 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
- 2006-07-23
- Last updated
- 2015-05-07
Frequently asked questions
- What is Paul Spellman's NPI number?
- Paul Spellman's National Provider Identifier (NPI) is 1790707628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Spellman's specialty?
- Paul Spellman is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Spellman located?
- Paul Spellman's practice location on file with NPPES is 85 N Grand Ave, Fort Thomas, KY 41075-1793.
- What is Paul Spellman's phone number?
- The practice phone number listed in the NPPES registry for Paul Spellman is (859) 572-3617.
- Does Paul Spellman accept Medicare?
- Paul Spellman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Spellman's NPI active?
- Yes — Paul Spellman's NPI (1790707628) is active in the NPPES registry as of the last update on 2015-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.