NPPES file of Aug 9, 2026

Paul Spellman, M.D.

Emergency Medicine Physician · Fort Thomas, KY

Paul Spellman, M.D. is an emergency medicine physician with a practice address in Fort Thomas, Kentucky, and NPI 1790707628, issued on Jul 23, 2006. Check the license (Kentucky 37183, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1790707628
Name
Paul Spellman
Credential
M.D.
Primary taxonomy
Emergency Medicine Physician 207P00000X
License number
37183 KY
Self-reported in NPPES; status is on the state search
Practice location
85 N Grand Ave, Fort Thomas, KY 41075
Phone
(859) 572-3617
Enumerated
Jul 23, 2006
Record last updated
May 7, 2015 (not updated in 11 years: call before relying on the address or phone)
Fax
(859) 572-2366
Medicaid IDs
201046520 IN
64067853 KY
2250344 OH
Medicare enrollment
Enrolled (PECOS I20110215000747); accepts Medicare assignment
Medical or professional school
University Of Louisville School Of Medicine, 1999
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 85 N Grand Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Lisa-Marie Aders, ARNPNurse Practitioner1619148855
  2. David Allen, DOEmergency Medicine Physician1366460602
  3. Amy Alsip, APRNFamily Nurse Practitioner1699182337
  4. Chase AndersonStudent in an Organized Health Care Education/Training Program1104750066
  5. Kimberly Arias, PA-CPhysician Assistant1497909774
  6. Sundeep Bajwa, DOHospitalist Physician1417486374

Verify Paul Spellman in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 37183
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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18% more Medicare Part D claims than the average emergency medicine physician in 2024

266 Medicare Part D claims for 194 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. 32 claims were for opioids.

  1. Paul Spellman266
  2. Specialty average226

Most prescribed

  1. Prednisone42 claims
  2. Ondansetron Odt25 claims
  3. Cephalexin24 claims
  4. Azithromycin23 claims
  5. Oxycodone-Acetaminophen17 claims
  6. Hydrocodone-Acetaminophen15 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 92.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $21.00

1 payment: food and beverage; the largest payer was Becton, Dickinson and Company. The 12,335 providers of this specialty with any payment received $953.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Paul Spellman$21.00
  2. Specialty average$953.79

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Baptist Health Medical Group IncLouisville, KY
  2. Compass Emergency Physicians PscLawrenceburg, IN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Paul Spellman among 903 emergency medicine physician records in Kentucky

Paul Spellman, M.D. is one of 903 emergency medicine physician records with a practice address in Kentucky. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 55% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated1999 · median 2011 among the 557 with a school on file
  • Record last updated2015 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

29 emergency medicine physician records list a practice address in Fort Thomas

They are 29 of the 309 NPPES records with a practice address in Fort Thomas, and 903 emergency medicine physician records in Kentucky.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. David Allen, DOFort Thomas, KY 410751366460602
  2. Michael Elleman, M.D.Fort Thomas, KY 410751780602037
  3. Daryl Emery, MDFort Thomas, KY 410751356364194
  4. Richard Gautraud, M.D.Fort Thomas, KY 410751982628871
  5. Lee Herfel, MDFort Thomas, KY 410751912904293
  6. Robert Herfel, M.D.Fort Thomas, KY 410751417971300
  7. Hien Le, MDFort Thomas, KY 410751801810916
  8. Kevin Platt, MDFort Thomas, KY 410751740285311

Common questions

What is Paul Spellman, M.D.'s NPI number?

Paul Spellman, M.D.'s National Provider Identifier (NPI) is 1790707628, issued on Jul 23, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Paul Spellman, M.D. located?

The NPPES record lists a practice address at 85 N Grand Ave, Fort Thomas, KY, 41075. Phone: (859) 572-3617. Providers update this record themselves, so call before visiting.

How can I verify Paul Spellman, M.D.'s license?

NPPES lists Kentucky license number 37183, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Paul Spellman, M.D. prescribe under Medicare Part D?

In 2024, Paul Spellman, M.D. had 266 Medicare Part D claims for 194 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is Paul Spellman, M.D.'s MIPS final score?

The 2023 MIPS final score is 92.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.