Paul Sponseller, MD - Medicare Orthopedic Surgery in Baltimore, MD

Paul Sponseller, MD is a medicare enrolled "Orthopaedic Surgery" physician in Baltimore, Maryland. He went to University Of Michigan Medical School and graduated in 1980 and has 44 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Johns Hopkins University, Kennedy Krieger Associates and his current practice location is 601 N Caroline St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 955-3870.

Paul Sponseller is licensed to practice in Maryland (license number D33880) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518994037.

Contact Information

Paul Sponseller, MD
601 N Caroline St,
Baltimore, MD 21287-0006
(410) 955-3870
Not Available

Map and Direction




Physician's Profile

Full NamePaul Sponseller
GenderMale
SpecialityOrthopedic Surgery
Experience44 Years
Location601 N Caroline St, Baltimore, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul Sponseller attended and graduated from University Of Michigan Medical School in 1980
  NPI Data:
  • NPI Number: 1518994037
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 02/19/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5496797359
  • Enrollment ID: I20050601000719

Medical Identifiers

Medical identifiers for Paul Sponseller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518994037NPI-NPPES
405441500MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery D33880 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johns Hopkins Hospital, TheBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Johns Hopkins University89219031472692
Kennedy Krieger Associates175928059754

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul Sponseller allows following entities to bill medicare on his behalf.
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922008549
PECOS PAC ID: 8921903147
Enrollment ID: O20031215000719
Entity NameKennedy Krieger Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871515783
PECOS PAC ID: 1759280597
Enrollment ID: O20031231000300

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Sponseller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paul Sponseller, MD
Po Box 64664,
Baltimore, MD 21264-4664

Ph: (410) 955-6784
Paul Sponseller, MD
601 N Caroline St,
Baltimore, MD 21287-0006

Ph: (410) 955-3870

Reviews and Comments


Orthopaedic Surgery Doctors in Baltimore, MD

Robert J Brumback, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3333 North Calvert Street, Suite 400, Baltimore, MD 21218
Phone: 410-554-2270    Fax: 410-261-2726
Dr. Milford Howarth Marchant Jr., M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2900 S Hanover St, Baltimore, MD 21225
Phone: 410-350-8336    Fax: 410-350-7178
Dr. Michelle Ghert, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 110 S Paca St Fl 6, Baltimore, MD 21201
Phone: 614-397-2721    
Henry R Boucher, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3333 North Calvert Street, Suite 400, Baltimore, MD 21218
Phone: 410-554-2270    Fax: 410-261-2726
John J Carbone, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3001 S Hanover St, Gruehn Bldg, Ste 502, Baltimore, MD 21225
Phone: 410-350-8300    
Dr. Dawn Laporte, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 601 N Caroline St, Rm 5210, Baltimore, MD 21287
Phone: 410-955-3134    
Paul C Mcafee, M.D., MBA
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3333 N Calvert St Ste 655, Baltimore, MD 21218
Phone: 410-554-2175    Fax: 410-554-2917

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.