Medicare Enrolled

Dr. James Spoto, DO

Facial Plastic Surgery Physician · Grand Rapids, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1179 E PARIS AVE SE, Grand Rapids, MI 49546
6162525760
Registered in NPPES since 2007
NPI: 1457563959 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Spoto from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Spoto

Dr. James Spoto is a facial plastic surgery physician in Grand Rapids, MI, with 19 years of NPI registration. Based on federal Medicare data, Dr. Spoto performed 303 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Spoto received a total of $2,774 from 13 pharmaceutical and/or device companies across 31 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Spoto is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years of NPI registration ▲ 303 Medicare services $2,774 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
303
Medicare services
Bottom 16% in MI for facial plastic surgery physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
 62 $27 $302
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
 61 $53 $196
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
 54 $71 $419
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
 46 $33 $142
New patient office visit, complex (60-74 min) 29 $128 $551
Flexible laryngoscopy
A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx.
 23 $48 $613
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
 14 $69 $253
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
 14 $110 $432
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,774
Total received (2018-2024)
Avg $462/year across 6 years
Top 50% in MI for facial plastic surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
13
Companies
31
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$19
2022
$85
2021
$1,439
2020
$80
2019
$558
2018
$593

Payments by company (2024)

GENZYME CORPORATION
$19
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$1,822
Medtronic USA, Inc.
$190
Entellus Medical, Inc.
$153
Intersect ENT, Inc.
$149
Smith & Nephew, Inc.
$147
KARL STORZ Endoscopy-America
$117
Medtronic, Inc.
$66
Olympus America Inc.
$48
OptiNose US, Inc.
$19
GENZYME CORPORATION
$19
Cochlear Americas
$17
Ethicon US, LLC
$16
Novartis Pharmaceuticals Corporation
$12
Top 3 companies account for 78.0% of all-time payments
Associated products mentioned in payments ›
7.5 FR. X 250MM RHINLARYNGO SCOPE · CIPRODEX · CLARIFIX CRYOTHERAPY DEVICE · Chitogel · Coblation - Turbinate Wands · Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode · DUPIXENT · ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM · ENTELLUS - XPRESS ENT DILATION SYSTEM · FUSION · NUVENT · Olympus Capital Accessories · Olympus ENT Fiber Scopes · Olympus Rhinology Instruments · PROPEL · SCOPIS ENT · STEALTHSTATION S8 PLATFORM · SURGICEL Family of Absorbable Hemostats · XPRESS ENT DILATION SYSTEM · Xhance
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a facial plastic surgery physician in Grand Rapids?
Compare facial plastic surgery physicians in the Grand Rapids area by procedure volume, costs, and industry payment transparency.
Browse facial plastic surgery physicians nearby

Geographic Context

Facial plastic surgery physicians in nearby ZIP areas
4
County median income
$80,390
Nearest hospital to ZIP centroid (approximate)
FOREST VIEW PSYCHIATRIC HOSPITAL
0.0 mi

Data Sources

Provider Registry ✓ NPPES NPPES snapshot; verify current record
Medicare Enrollment ✓ PECOS PECOS snapshot
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Spoto is a clinical cardiology specialist, with moderate Medicare volume, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Spoto experienced with ear wax removal?
Based on Medicare claims data, Dr. Spoto performed 62 ear wax removal services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Spoto receive payments from pharmaceutical companies?
Yes. Dr. Spoto received a total of $2,774 from 13 companies across 31 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Spoto's costs compare to other facial plastic surgery physicians in Grand Rapids?
Dr. Spoto's average Medicare payment per service is $58. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Spoto) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →

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About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →