Robert Spira, M.D.
NPI 1902877525 · Specialist · Belleville, NJ
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Robert Spira, M.D. is a Specialist provider in Belleville, NJ (NPI 1902877525).
Provider details
- NPI number
- 1902877525
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MA03877200 (NJ)
Specialties & taxonomies
Other Service Providers
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
351 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 | 88 | $99 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 87 | $137 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 41 | $122 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 26 | $269 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 25 | $181 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 162 | 55 |
| Omeprazole | 104 | 31 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 96 | 93 |
| Linaclotidebrand: Linzess | 69 | 16 |
| Diphenoxylate Hcl/Atropinebrand: Diphenoxylate-Atropine | 44 | — |
| Famotidine | 41 | 14 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-C |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$448 across 27 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
- 2006-01-31
- Last updated
- 2013-10-01
Frequently asked questions
- What is Robert Spira's NPI number?
- Robert Spira's National Provider Identifier (NPI) is 1902877525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Spira's specialty?
- Robert Spira is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Robert Spira located?
- Robert Spira's practice location on file with NPPES is 5 Franklin Ave, Belleville, NJ 07109-3532.
- What is Robert Spira's phone number?
- The practice phone number listed in the NPPES registry for Robert Spira is (973) 759-7240.
- Does Robert Spira accept Medicare?
- Robert Spira is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Robert Spira's NPI active?
- Yes — Robert Spira's NPI (1902877525) is active in the NPPES registry as of the last update on 2013-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.