HEATHER STEVENS SPADER MD NPI 1003012188
Neurological Surgery in Charlottesville, VA
About HEATHER STEVENS SPADER MD
Heather Spader is a provider established in Charlottesville, Virginia and her medical specialization is Neurological Surgery with more than 17 years of experience. The NPI number of this provider is 1003012188 and was assigned on June 2007. The practitioner's primary taxonomy code is 207T00000X with license number 0101278839 (VA). The provider is registered as an individual and her NPI record was last updated August 2023.
| NPI | 1003012188 |
| Provider Name | HEATHER STEVENS SPADER MD |
| Location Address | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 |
| Location Phone | (434) 243-5749 |
| Mailing Address | PO BOX 9007 CHARLOTTESVILLE, VA 22906 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-25-2007 |
| Last Update Date | 08-25-2023 |
Heather Spader is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Heather Spader is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Unm Hospital.
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.75 for a new patient copayment and $18.37 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207T00000X |
| Classification | Neurological Surgery |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 0101278839 |
| License State | VA |
| Taxonomy Description | A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1204 W MAIN ST
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 243-5749
Fax: (434) 243-5204
Mailing Address
PO BOX 9007
CHARLOTTESVILLE, VA
ZIP 22906
Secondary Locations
1215 Lee St
Charlottesville, VA 22908
(434) 295-1000
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 4486871605 |
| PECOS Enrollment ID | I20210215000205 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 22903 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $58.76 | $178.23 | $135 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.69 | $44.55 | $33.75 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.32 | $145.63 | $73.51 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.58 | $36.4 | $18.37 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Heather Spader is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| UNM HOSPITAL | 2211 LOMAS BOULEVARD NE ALBUQUERQUE, NM 87106 | (505) 272-2111 | Acute Care Hospitals | 320001 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 015345100 | MEDICAID (05) | FL |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 2 | 1 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 4 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 4 + 1 + 1 + 6 + 24 = 42 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 42 = 8 | 8 | ||||||||
The NPI number 1003012188 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427448976 | ERIN C. BERENZ PH.D. Individual | Psychologist (Clinical) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-8184 |
| 1508312612 | KELLY O'CONNELL PNP Individual | Nurse Practitioner (Pediatrics) | 1204 W MAIN ST 5TH FLOOR CHARLOTTESVILLE, VA 22903 (800) 362-2203 |
| 1114414919 | SHELLEY TOWNER MS, LCGC Individual | Genetic Counselor, MS | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 982-4146 |
| 1376959270 | SHELBY T. CROSS FNP-BC Individual | Nurse Practitioner (Family) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1205885571 | BETH E DAVIS MD MPH Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1730275314 | STEVEN L. ZEICHNER M.D. Individual | Pediatrics (Pediatric Infectious Diseases) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1932278579 | RONALD B. TURNER Individual | Pediatrics (Pediatric Infectious Diseases) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1518036136 | SUSAN ANDERSON Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1679642201 | GAYNELL P MATHERNE MD Individual | Pediatrics (Pediatric Cardiology) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1750450383 | NANCY L. MCDANIEL M.D. Individual | Pediatrics (Pediatric Cardiology) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1578632105 | NANCY M MCLAREN Individual | Pediatrics | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1285703819 | KENNETH W. NORWOOD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1881763407 | JOHN P. BARCIA MD Individual | Pediatrics (Pediatric Nephrology) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1184766313 | MARGARET M. SENNETT N.P. Individual | Nurse Practitioner (Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1033233390 | RICHARD D. STEVENSON M.D. Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1710001953 | SUSAN B. CLUETT N.P. Individual | Nurse Practitioner | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1750405890 | CHRISTINE T. MURRAY N.P. Individual | Nurse Practitioner (Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1073735023 | BETHANY MORAN COYNE N.P. Individual | Nurse Practitioner (Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1215149083 | BRIAN C BELYEA MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1902064330 | AMY C. BROWN M.D. Individual | Pediatrics | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
Frequently Asked Questions
What is Heather Spader MD NPI number?
The NPI number assigned to this healthcare provider is 1003012188, registered as an "individual" on June 25, 2007
Where is Heather Spader MD located?
The provider is located at 1204 W Main St Charlottesville, Va 22903 and the phone number is (434) 243-5749
Which is Heather Spader MD specialty?
The provider's speciality is Neurological Surgery
How many years of experience does Heather Spader MD have?
The provider has more than 17 years of experience.
What insurance does Heather Spader MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Heather Spader MD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Heather Spader MD?
Medicare beneficiaries should expect a typical cost of $135 with an average copayment of $33.75 for new patient appointments. Established patients should expect a typical charge of $73.51 and an average copayment of 18.37. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Heather Spader MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: UNM HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Heather Spader MD was last updated on June 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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