DR. MICHAEL BRYON SPACKMAN (MD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1386887032
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
64 PHYSICAL MEDICINE AND REHABILITATION in ID
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Provider Addresses for DR. MICHAEL BRYON SPACKMAN (MD)
2835, North Tanglerose Place, Tanglerose, Eagle, Ada County, Idaho, 83616, United States
EAGLE, ID 836165796
Phone: (952) 239-5080
Type: Mailing
360, East Montvue Drive, Meridian, Ada County, Idaho, 83642, United States
SUITE 100
MERIDIAN, ID 83642
Phone: (208) 855-2900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 86 Open Payments records for all available years, with a total value of $780.
Total Amount is formed as General ($780) + Research ($0) + Ownership ($0) = $780.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($531).
Total Amount
$780
General + Research + Ownership
Payments
86
Total payment records
General Amount
$780
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $531 |
| Abbott Laboratories | $196 |
| Dexcom, Inc. | $38 |
| Boston Scientific Corporation | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110815000871 | I | Physical Medicine And Rehabilitation | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 3,461 | 126 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 434 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 224 | 90 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 126 | 97 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 64 | $0 |
Insurance plans in this area (ZIP 83616)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Physician Assistant | ID | |
| Physical Medicine And Rehabilitation | ID | |
| Physician Assistant | ID | |
| Orthopedic Surgery | ID |
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