JUSTIN SPACKEY (MD) – Diagnostic Radiology Physician, NPI 1831353788

JUSTIN SPACKEY (MD) is a healthcare provider. based in Maywood, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 125052016 (IL). The NPI Number for JUSTIN SPACKEY (MD) is 1831353788

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN SPACKEY (MD)
NPI
1831353788
Phone
(708) 216-1084
Address
2160 S FIRST AVE
Enumeration Date
10 July 2008
Last Update Date
10 July 2008

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2198363477
Graduation Year
1999 (27 years ago)
PAC ID
4385770536
Group Practice PAC ID
1951299940
Professional Enrollment ID
I20100327000169
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

Provider Addresses for JUSTIN SPACKEY (MD)

  • 2160 S FIRST AVE

    MAYWOOD, IL 60153

    Phone: (708) 216-1084

    Type: Location

  • Elk Grove Village, Elk Grove Township, Cook County, Illinois, United States

    ELK GROVE VILLAGE, IL 600074210

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100327000169IDiagnostic RadiologyINTBD
I20140620001343IDiagnostic RadiologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view877738$0
70450Ct scan head or brain without contrast477459$0
71046X-ray of chest, 2 views443434$0
74176Ct scan of abdomen and pelvis without contrast398397$0
74177Ct scan of abdomen and pelvis with contrast321312$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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Provider's Procedures

JUSTIN SPACKEY (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL73140X-ray of fingers, minimum of 2 views1311
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front18501423
DIAGNOSTIC RADIOLOGYIL71250CT scan chest267262
DIAGNOSTIC RADIOLOGYIL73110X-ray of wrist, minimum of 3 views3433
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views6156
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast2626
DIAGNOSTIC RADIOLOGYIL76830Ultrasound pelvis through vagina1515
DIAGNOSTIC RADIOLOGYIL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers102101

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951299940View full group profile
NameSpecialtyState
Physician AssistantMI
Diagnostic RadiologyIN
Physician AssistantIL
Diagnostic RadiologyIN
-IN
-IN
Interventional Radiology, Diagnostic RadiologyIL
-IN
-IN
-IN

Reviews

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Frequently asked questions

Can I use this page to confirm JUSTIN SPACKEY (MD)'s NPI?
Yes. JUSTIN SPACKEY (MD) is listed with NPI 1831353788 in the public NPI dataset.
Is JUSTIN SPACKEY (MD) still practicing?
JUSTIN SPACKEY (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes JUSTIN SPACKEY (MD)?
For research purposes, treat JUSTIN SPACKEY (MD) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JUSTIN SPACKEY (MD) on a map?
Expect Maywood, Illinois as a primary anchor for JUSTIN SPACKEY (MD) unless the record lists multiple sites.
Is the information about JUSTIN SPACKEY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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