DR. SHAUN VINCENT SPIELMAN (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1962631283
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
341 SPORTS MEDICINE in OH
Provider Addresses for DR. SHAUN VINCENT SPIELMAN (M.D.)
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
University Boulevard, Fairborn, Greene County, Ohio, 45433, United States
BEAVERCREEK, OH 453242640
Phone: (937) 245-7100
Fax: (937) 245-7999
Type: Mailing
PO BOX 933432
CLEVELAND, OH 441930039
Phone: (937) 641-5072
Fax: (937) 641-6129
Type: Mailing
1 CHILDRENS PLZ
DAYTON, OH 454041815
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
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: 2018-05-16
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 |
|---|---|---|---|---|
| I20180516002729 | I | Sports Medicine | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 13 | $0 |
Insurance plans in this area (ZIP 45342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| P O D I A T R Y | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Family Practice | OH |
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