Active NPI 1427452762 Individual Practitioner Female Practitioner

Dawn Spell , FNP-C

Nurse Practitioner • O Fallon, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dawn Spell, FNP-C is a certified Nurse Practitioner practicing in O Fallon, MO. With approximately 12 years of clinical experience since completing medical education in 2014, Dawn Spell delivers high-quality medical care to the local community at 1101 HIGHWAY K.

Dawn Spell is affiliated with Ssm Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, detection test by nucleic acid for multiple types influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1101 Highway K

O Fallon, MO 633668431

Telephone 6363796363

Associated Practice Facility / Clinic

🏢 Ssm Medical Group Inc. Facility NPI 1548578750

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in O Fallon, MO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -0.2 yrs vs City Avg

City Avg: 12.2 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

34 Specialists

Practicing in O Fallon, MO (1750 Statewide)

Telehealth Adoption Rate

20.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spell (12 Years) 12 Yrs

O Fallon Specialty Average (12.2 Years) 12.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

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	98	80	$261.47	$85.73
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$120.74	$55.52
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	19	19	$175.00	$50.28
87502 Detection test by nucleic acid for multiple types influenza virus	17	17	$270.00	$93.88
71046 X-ray of chest, 2 views	15	14	$190.20	$24.41
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	15	13	$42.00	$13.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,900	19	$1.50	$0.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg	280	53	$10.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	172	$318.00	$104.02
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	100	98	$175.00	$50.28
87502 Detection test by nucleic acid for multiple types influenza virus	81	80	$270.00	$92.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$490.50	$137.57
71046 X-ray of chest, 2 views	68	68	$213.18	$27.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	55	$73.71	$11.53
81003 Automated urinalysis test	49	49	$46.80	$2.20
82550 Creatine kinase (cardiac enzyme) level, total	43	42	$13.02	$6.23
82565 Blood creatinine level	43	42	$10.24	$4.90
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	42	42	$14.02	$6.71
84520 Urea nitrogen level to assess kidney function	40	40	$7.90	$3.77
J7030 Infusion, normal saline solution , 1000 cc	37	36	$10.00	$2.53
85018 Blood count, hemoglobin	32	32	$8.50	$2.32
93000 Routine ekg using at least 12 leads including interpretation and report	31	31	$123.00	$11.92
84075 Phosphatase (enzyme) level, alkaline	26	26	$10.01	$5.08
82150 Amylase (enzyme) level	26	26	$32.14	$6.35
84460 Liver enzyme (sgpt), level	26	26	$10.23	$5.19
84450 Liver enzyme (sgot), level	26	26	$9.39	$5.08
84155 Total protein level, blood	26	26	$6.74	$3.60
82040 Albumin (protein) level	26	26	$9.58	$4.85
82247 Bilirubin level	26	26	$9.71	$4.92
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$182.06	$74.61
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$92.72	$14.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$320.82	$92.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$429.90	$147.74
74177 Ct scan of abdomen and pelvis with contrast	17	17	$1815.42	$223.22
73130 X-ray of hand, minimum of 3 views	14	13	$106.86	$30.55
73630 X-ray of foot, minimum of 3 views	12	12	$170.49	$28.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,325	13	$1.50	$0.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg	248	44	$10.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	163	$318.00	$106.59
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	121	119	$175.00	$50.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$490.50	$140.21
87502 Detection test by nucleic acid for multiple types influenza virus	52	52	$270.00	$94.42
71046 X-ray of chest, 2 views	48	47	$213.18	$28.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	40	$73.71	$12.03
99213 Established patient office or other outpatient visit, typically 15 minutes	36	36	$182.06	$76.17
81002 Urinalysis, manual test	33	33	$30.00	$3.44
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$123.00	$12.01
82565 Blood creatinine level	32	31	$10.21	$5.03
82550 Creatine kinase (cardiac enzyme) level, total	31	30	$13.02	$6.40
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	31	30	$14.02	$6.89
84520 Urea nitrogen level to assess kidney function	30	30	$9.38	$3.88
J7030 Infusion, normal saline solution , 1000 cc	29	27	$10.00	$2.64
84450 Liver enzyme (sgot), level	20	19	$9.39	$5.11
82040 Albumin (protein) level	20	19	$9.58	$4.88
82150 Amylase (enzyme) level	20	19	$32.14	$6.38
82247 Bilirubin level	20	19	$9.71	$4.95
84075 Phosphatase (enzyme) level, alkaline	20	19	$10.01	$5.11
84155 Total protein level, blood	20	19	$6.74	$3.62
84460 Liver enzyme (sgpt), level	20	19	$10.23	$5.22
85018 Blood count, hemoglobin	19	19	$22.15	$2.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$429.90	$151.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$111.90	$47.47
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	17	17	$175.00	$41.16
96361 Hydration infusion into a vein	16	13	$40.00	$10.85
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$92.72	$16.30
82947 Blood glucose (sugar) level	16	15	$7.86	$3.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$320.82	$94.71
80047 Blood test, basic group of blood chemicals (calcium, ionized)	15	14	$63.17	$13.59
73630 X-ray of foot, minimum of 3 views	15	15	$181.86	$29.39
96360 Infusion into a vein for hydration, 31-60 minutes	15	15	$105.00	$28.79
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	14	14	$201.33	$56.71
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	11	11	$7.50	$1.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,605	15	$1.50	$0.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg	177	38	$10.00	$0.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	77	$318.00	$111.50
99213 Established patient office or other outpatient visit, typically 15 minutes	58	58	$182.06	$78.03
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	53	53	$153.77	$51.31
80047 Blood test, basic group of blood chemicals (calcium, ionized)	47	46	$61.89	$13.73
J7030 Infusion, normal saline solution , 1000 cc	45	43	$10.00	$2.78
71046 X-ray of chest, 2 views	45	45	$213.18	$28.84
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	41	41	$127.44	$41.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$490.50	$144.43
81002 Urinalysis, manual test	41	41	$30.00	$3.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	40	$73.71	$12.10
85014 Red blood cell concentration measurement	38	37	$56.45	$2.37
85018 Blood count, hemoglobin	38	37	$54.97	$2.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$320.82	$96.33
84155 Total protein level, blood	26	26	$6.74	$3.67
84460 Liver enzyme (sgpt), level	26	26	$10.23	$5.30
84450 Liver enzyme (sgot), level	26	26	$9.39	$5.18
84075 Phosphatase (enzyme) level, alkaline	26	26	$10.01	$5.18
82247 Bilirubin level	26	26	$9.71	$5.02
82150 Amylase (enzyme) level	26	26	$32.14	$6.48
82040 Albumin (protein) level	26	26	$9.58	$4.95
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$146.26	$62.89
96375 Injection of additional new drug or substance into vein	21	11	$45.00	$14.43
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$123.00	$12.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$111.90	$48.39
87502 Detection test by nucleic acid for multiple types influenza virus	18	18	$270.00	$95.80
96360 Infusion into a vein for hydration, 31-60 minutes	17	17	$105.00	$30.61
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	13	13	$201.33	$62.00
73130 X-ray of hand, minimum of 3 views	12	11	$124.67	$31.19
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	11	11	$103.00	$35.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	35	$50.00	$19.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	63	63	$2108.00	$149.26
99284 Emergency department visit with moderate level of medical decision making	36	36	$1428.00	$101.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	30	30	$103.00	$7.08
99291 Critical care, first 30-74 minutes	13	13	$2715.00	$179.23
99283 Emergency department visit with low level of medical decision making	12	12	$754.92	$53.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	60	60	$2045.72	$142.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	57	56	$99.75	$7.16
99284 Emergency department visit with moderate level of medical decision making	55	55	$1379.78	$99.68
99291 Critical care, first 30-74 minutes	41	41	$2623.05	$188.66
99283 Emergency department visit with low level of medical decision making	39	37	$722.54	$52.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	47	46	$1319.34	$99.44
99283 Emergency department visit with low level of medical decision making	41	41	$689.68	$52.30
99285 Emergency department visit for life threatening or functioning severity	37	36	$1943.97	$146.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	23	23	$97.04	$7.13

Medical Specialties & State Licenses

CMS Verified: 2024-03-18

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2014038756

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MO F1014369

Definition to come...

Hospital & Practice Group Affiliations

Ssm Medical Group Inc

1101 Hwy K, O Fallon, MO 633668431

Phone: 6363796363

Secondary Practice Locations

1000 E Cherry St

Troy, MO 633791513

Phone: 6365288551

Practice Associates & Co-Workers

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

20 Associated Practitioners

Riley Busch , PA-C

Physician Assistant

NPI 1013775238

Physician Assistant (Certified)

Elizabeth Vollmar , FNP-C

Nurse Practitioner

NPI 1124490107

Family Nurse Practitioner (Certified)

Dr. Jamie Puckett , MD

Obstetrics & Gynecology

NPI 1164420477

Doctor of Medicine (M.D.)

Dr. Matthew Schneider , DO

Family Medicine

NPI 1225787633

Doctor of Osteopathic Medicine (D.O.)

Dr. Sophia Johnson , DPT, PT

Physical Therapist

NPI 1225806722

Doctor of Physical Therapy, Physical Therapist

Dr. Tanvira Alam , DO

Obstetrics & Gynecology

NPI 1265670525

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 18, 2024

Registered at 1101 HIGHWAY K, O FALLON, MO 633668431 (Tel: 6363796363)

📍

Updated Business Mailing Address March 18, 2024

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

✅

NPI Profile Active October 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2014

Registered at 1000 E CHERRY ST, TROY, MO 633791513 (Tel: 6365288551)

📍

Updated Business Mailing Address October 15, 2014

Registered at 333 MORGAN TRAILS DR, SAINT PETERS, MO 633767751 (Tel: 3144955009)

👤

Provider Name / Credentials Updated October 15, 2014

Recorded as DAWN SPELL, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2014

Nurse Practitioner (License #F1014369 in MO)

🟢

Initial NPI Registration & Enumeration October 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dawn Spell. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1427452762

Entity Type:

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

Enumeration Date: October 15, 2014

Last Update: March 18, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.