Deactivated NPI 1407801434 Deactivated / Inactive NPI Male Practitioner

Dr. Adam Spaetti , MD

Internal Medicine • Bloomington, IN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Adam Spaetti has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 25, 2006

NPI Deactivation Date February 10, 2021

Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Adam Spaetti, MD was a registered Internal Medicine practicing in Bloomington, IN. Throughout an active medical career spanning 15 years, Dr. Spaetti provided care at the practice location at 550 S LANDMARK AVE until profile deactivation on 2021-02-10.

Historical Medicare Part B clinical services included established patient outpatient office visit, administration of influenza virus vaccine, influenza vaccine split virus, preservative free. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

550 S Landmark Ave

Bloomington, IN 474033239

Telephone 8123553255

Fax 8123335978

Associated Practice Facility / Clinic

🏢 Ima Inc Laboratory Facility NPI 1588669667

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bloomington, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.7 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

56 Specialists

Practicing in Bloomington, IN (2204 Statewide)

Telehealth Adoption Rate

10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	409	344	$132.00	$102.47
99213 Established patient office or other outpatient visit, typically 15 minutes	318	258	$86.00	$67.57
G0008 Administration of influenza virus vaccine	148	147	$36.00	$15.86
90662 Influenza vaccine split virus, preservative free	140	139	$86.00	$60.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	87	85	$188.00	$136.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	84	24	$30.00	$13.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	52	$331.68	$193.94
99441 Telephone medical discussion with physician, 5-10 minutes	50	48	$42.80	$33.92
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	47	22	$55.00	$38.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	36	$85.00	$50.26
G0009 Administration of pneumococcal vaccine	38	38	$22.00	$15.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	35	$68.11	$35.37
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	35	35	$116.00	$115.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	20	$213.53	$100.33
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	30	12	$4.00	$1.95
99442 Telephone medical discussion with physician, 11-20 minutes	27	27	$53.41	$49.22
71046 X-ray of chest, 2 views	27	26	$43.00	$19.20
99496 Transitional care management services for problem of high complexity	24	22	$225.00	$218.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	15	$148.78	$69.88
69209 Removal of impacted ear wax by washing	19	17	$35.84	$16.64
69210 Removal of impacted ear wax	14	14	$73.00	$45.03
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	14	14	$37.29	$13.70
99495 Transitional care management services for problem of at least moderate complexity	13	13	$160.00	$158.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$222.54	$131.54
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$60.00	$15.92
99220 Hospital observation care, typically 70 minutes	11	11	$328.18	$177.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,980	21	$21.00	$18.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	730	493	$120.89	$102.07
99213 Established patient office or other outpatient visit, typically 15 minutes	507	326	$79.10	$69.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	202	56	$30.00	$15.53
G0008 Administration of influenza virus vaccine	169	169	$36.00	$15.55
90662 Influenza vaccine split virus, preservative free	158	158	$86.00	$54.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	145	138	$175.59	$137.02
G0009 Administration of pneumococcal vaccine	129	129	$22.00	$15.55
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	95	95	$116.00	$110.73
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	90	23	$4.00	$1.77
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	66	61	$164.55	$123.32
71046 X-ray of chest, 2 views	51	46	$42.61	$18.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	37	$61.62	$41.21
90670 Pneumococcal vaccine for injection into muscle	35	35	$243.00	$207.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	30	15	$80.00	$65.27
69209 Removal of impacted ear wax by washing	30	24	$31.20	$14.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$296.90	$191.49
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	16	$55.00	$38.56
69210 Removal of impacted ear wax	22	22	$78.18	$44.28
99306 Initial nursing facility visit, typically 45 minutes per day	19	17	$165.00	$158.33
99495 Transitional care management services for problem of at least moderate complexity	17	16	$160.00	$154.13
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$31.00	$18.65
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$130.00	$123.30
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$85.00	$49.85
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	11	$65.00	$41.76
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	13	13	$105.00	$85.30
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	12	12	$21.00	$7.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$210.00	$154.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,925	24	$20.01	$17.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	890	556	$115.00	$101.12
99213 Established patient office or other outpatient visit, typically 15 minutes	609	388	$74.89	$67.85
G0009 Administration of pneumococcal vaccine	200	200	$22.00	$19.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	192	59	$30.00	$19.05
90662 Influenza vaccine split virus, preservative free	156	156	$85.24	$52.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	127	127	$116.00	$104.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	108	101	$168.00	$136.25
90670 Pneumococcal vaccine for injection into muscle	87	87	$240.83	$195.05
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	86	24	$4.00	$1.93
71046 X-ray of chest, 2 views	64	61	$41.00	$17.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	62	38	$80.00	$65.72
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	51	27	$55.00	$39.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	35	$85.00	$50.45
G0008 Administration of influenza virus vaccine	38	38	$36.00	$19.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$441.00	$187.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	32	$60.00	$41.03
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	31	19	$65.00	$42.43
99495 Transitional care management services for problem of at least moderate complexity	27	25	$160.00	$150.64
69209 Removal of impacted ear wax by washing	27	26	$30.07	$13.81
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	23	$130.00	$124.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	20	$38.00	$20.24
93000 Routine ekg using at least 12 leads including interpretation and report	21	18	$60.00	$15.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$298.00	$129.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$190.00	$154.77
69210 Removal of impacted ear wax	19	19	$73.00	$45.45
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$31.00	$18.65
73560 X-ray of knee, 1-2 views	15	14	$30.00	$21.28
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$115.00	$30.18
73030 X-ray of shoulder, minimum of 2 views	12	12	$85.50	$17.31
99219 Hospital observation care, typically 50 minutes	11	11	$296.00	$129.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$130.00	$101.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,561	14	$21.35	$15.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	872	493	$127.70	$98.52
99213 Established patient office or other outpatient visit, typically 15 minutes	536	352	$83.14	$67.08
36415 Insertion of needle into vein for collection of blood sample	261	204	$19.73	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	240	209	$26.82	$10.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	220	111	$107.51	$64.35
80053 Blood test, comprehensive group of blood chemicals	186	173	$31.96	$11.19
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	172	85	$99.31	$38.15
83036 Hemoglobin A1C level	169	157	$42.57	$12.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	167	53	$31.08	$22.29
G0008 Administration of influenza virus vaccine	166	166	$35.88	$23.63
90662 Influenza vaccine split virus, preservative free	159	159	$78.79	$47.97
84443 Blood test, thyroid stimulating hormone (TSH)	144	133	$48.74	$22.30
G0009 Administration of pneumococcal vaccine	141	141	$23.19	$22.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	127	115	$180.85	$134.19
80061 Blood test, lipids (cholesterol and triglycerides)	113	108	$43.00	$12.95
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	109	68	$72.80	$41.50
90670 Pneumococcal vaccine for injection into muscle	101	101	$275.67	$179.18
80048 Blood test, basic group of blood chemicals (calcium, total)	91	70	$26.91	$8.10
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	88	21	$3.00	$2.41
81001 Manual urinalysis test with examination using microscope, automated	79	74	$23.70	$4.26
82550 Creatine kinase (cardiac enzyme) level, total	77	74	$17.06	$4.66
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	75	52	$159.59	$85.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$205.31	$151.93
82306 Vitamin d-3 level	71	71	$85.42	$39.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$134.47	$97.90
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	62	57	$175.16	$121.92
83735 Magnesium level	57	49	$19.00	$9.01
71020 X-ray of chest, 2 views, front and side	53	50	$42.00	$15.42
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	52	52	$112.37	$95.65
84439 Thyroxine (thyroid chemical), free	52	49	$39.31	$11.67
81003 Automated urinalysis test	42	41	$18.90	$3.02
85610 Blood test, clotting time	40	37	$14.15	$5.28
82607 Cyanocobalamin (vitamin B-12) level	38	38	$53.37	$19.74
82043 Urine microalbumin (protein) level	37	35	$22.00	$7.77
82570 Creatinine level to test for kidney function or muscle injury	36	34	$20.00	$6.96
G0103 Prostate cancer screening; prostate specific antigen test (psa)	33	33	$64.00	$24.73
69209 Removal of impacted ear wax by washing	32	30	$38.56	$13.42
82746 Folic acid level	31	31	$48.87	$19.13
72110 X-ray of lower and sacral spine, minimum of 4 views	31	30	$110.94	$29.94
82728 Ferritin (blood protein) level	30	29	$32.00	$18.33
99495 Transitional care management services for problem of at least moderate complexity	30	28	$290.47	$151.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	28	$31.45	$18.69
93000 Routine ekg using at least 12 leads including interpretation and report	27	20	$72.30	$15.44
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	26	25	$18.65	$4.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$60.00	$39.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	22	$80.00	$63.35
80076 Liver function blood test panel	23	19	$28.65	$7.27
83540 Iron level	22	20	$17.00	$8.70
72050 X-ray of upper spine, 4 or 5 views	19	19	$102.11	$26.30
99306 Initial nursing facility visit, typically 45 minutes per day	18	18	$237.72	$156.89
86140 Measurement C-reactive protein for detection of infection or inflammation	16	15	$20.88	$6.96
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	16	16	$65.00	$40.99
69210 Removal of impacted ear wax	14	14	$79.00	$44.70
84550 Uric acid level, blood	13	13	$18.00	$4.21
84481 Thyroid hormone, t3 measurement, free	13	11	$56.00	$16.51
99496 Transitional care management services for problem of high complexity	12	11	$351.00	$212.98
83970 Parathormone (parathyroid hormone) level	12	11	$140.83	$55.49
73501 X-ray of hip with pelvis, 1 view	11	11	$45.55	$18.04

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IN 01061257A

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Eric Bannec , MD

Internal Medicine

NPI 1093710881

Doctor of Medicine (M.D.)

Hena Shah , NP

Nurse Practitioner - Adult Health

NPI 1205364494

Nurse Practitioner

Dr. Eric Orth , DO

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1255398202

Doctor of Osteopathic Medicine (D.O.)

Bailey Roberson , NP

Nurse Practitioner - Family

NPI 1427711787

Nurse Practitioner

Dr. Mary Van Kooten , MD

Family Medicine

NPI 1619972601

Doctor of Medicine (M.D.)

Lisa Anderson , RD

Dietitian, Registered - Nutrition, Metabolic

NPI 1801588843

Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated February 10, 2021

Record deactivated on February 10, 2021

✅

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 02, 2016

Registered at 550 S LANDMARK AVE, BLOOMINGTON, IN 474033239 (Tel: 8123553255)

📍

Updated Business Mailing Address November 02, 2016

Registered at 550 S LANDMARK AVE, BLOOMINGTON, IN 474033239 (Tel: 8123553255)

👤

Provider Name / Credentials Updated November 02, 2016

Recorded as ADAM SPAETTI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Internal Medicine (License #01061257A in IN)

🟢

Initial NPI Registration & Enumeration May 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407801434

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 25, 2006

Last Update: November 02, 2016

Deactivation Date: February 10, 2021

Update or Correct Profile

Mailing Address

550 S Landmark Ave

Bloomington, IN 474033239

Phone: 8123553255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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