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 Address1204 W MAIN ST CHARLOTTESVILLE, VA 22903
Location Phone(434) 243-5749
Mailing AddressPO BOX 9007 CHARLOTTESVILLE, VA 22906
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date06-25-2007
Last Update Date08-25-2023

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 Code207T00000X
ClassificationNeurological Surgery
TypeAllopathic & Osteopathic Physicians
License No.0101278839
License StateVA
Taxonomy DescriptionA 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

Get Directions


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 ID4486871605
PECOS Enrollment IDI20210215000205
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 HOSPITAL2211 LOMAS BOULEVARD NE
ALBUQUERQUE, NM 87106
(505) 272-2111Acute Care Hospitals320001

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
015345100MEDICAID (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.
1003012188
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003014116
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 = 88

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, MS1204 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
Pediatrics1204 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 Practitioner1204 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
Pediatrics1204 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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