HEATHER STEVENS SPADER MD NPI 1003012188
Neurological Surgery in Albuquerque, NM
NPI Profile for HEATHER STEVENS SPADER MD
Heather Spader is a provider established in Albuquerque, New Mexico and her medical specialization is neurological surgery with more than 8 years of experience. The NPI number of Heather Spader is 1003012188 and was assigned on June 2007. The practitioner's primary taxonomy code is 207T00000X with license number MD2020-0980 (NM). The provider is registered as an individual and her NPI record was last updated one year ago.
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 Lovelace Medical Center and Unm Hospital.
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.77 for a new patient copayment and $17.7 for an established patient copayment.
| NPI | 1003012188 |
| Provider Name | HEATHER STEVENS SPADER MD |
| Provider Location Address | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 |
| Provider Mailing Address | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 06-25-2007 |
| Last Update Date | 05-25-2021 |
Primary Taxonomy
| Taxonomy Code | 207T00000X |
| Classification | Neurological Surgery |
| Type | Allopathic & Osteopathic Physicians |
| License No. | MD2020-0980 |
| License State | NM |
| 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. |
Business Address
HEATHER STEVENS SPADER MD
2211 LOMAS BLVD NE
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 272-0621
Fax: (505) 272-6091
Mailing Address
HEATHER STEVENS SPADER MD
2211 LOMAS BLVD NE
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 272-0621
Fax: (505) 272-6091
Secondary Locations
Miramar, FL 33029
(954) 265-3500
Coral Springs, FL 33076
(954) 265-3500
Boca Raton, FL 33434
(954) 265-3500
Hollywood, FL 33021
(954) 265-3500
PECOS Enrollment and Medicare Participation
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 87106 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 |
| $56.4 | $173.32 | $131.08 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.1 | $43.33 | $32.77 |
| 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 |
| $17.1 | $141.02 | $70.8 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.27 | $35.25 | $17.7 |
* 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 |
|---|---|---|---|---|---|
| LOVELACE MEDICAL CENTER | 601 DR MARTIN LUTHER KING JR AVE NE ALBUQUERQUE, NM 87102 | (505) 727-8000 | Acute Care Hospitals | 320009 | |
| UNM HOSPITAL | 2211 LOMAS BOULEVARD NE ALBUQUERQUE, NM 87106 | (505) 272-2111 | Acute Care Hospitals | 320001 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | ME 123879 | FL | No | |
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. | |||||||
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 step by step the 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 |
|---|---|---|---|
| 1902808918 | DR. MARY S MCKEE MD Individual | Radiology (Diagnostic Radiology) | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 (505) 272-2269 |
| 1740278332 | TRACI A MCKINNEY CFNP Individual | Nurse Practitioner (Family) | 2211 LOMAS BLVD NE 5TH FLOOR ALBUQUERQUE, NM 87106 (505) 272-4750 |
| 1952392516 | DR. J. MITCHELL SIMSON MD, MPH Individual | Internal Medicine (Addiction Medicine) | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 (505) 272-3850 |
| 1992786909 | MARCY SMITH CNP Individual | Nurse Practitioner (Adult Health) | 2211 LOMAS BLVD NE 2ND FLOOR ALBUQUERQUE, NM 87106 (505) 272-3189 |
| 1891766226 | DARREN BRAUDE MD Individual | Emergency Medicine | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 (505) 272-8950 |
| 1609848118 | MELISSA S ROSEN M.D. Individual | Family Medicine | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 (505) 272-8950 |
| 1639134620 | KOH BOAYUE MD Individual | Internal Medicine (Hematology & Oncology) | 2211 LOMAS BLVD NE 3RD FLOOR ALBUQUERQUE, NM 87106 (505) 272-4461 |
| 1649228479 | JOYCE VAN DELLEN CFNP Individual | Nurse Practitioner (Occupational Health) | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 (505) 272-2517 |
| 1932157351 | MS. MELODY LOU LAFRINIERE PHD Individual | Psychologist (Clinical) | 2211 LOMAS BLVD NE PSY CONSULTATION ALBUQUERQUE, NM 87106 (505) 272-4763 |
| 1770534521 | DR. REBECCA H MORAN MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 (505) 272-5437 |
| 1821037516 | JASON QUINCEY MCKEE MD Individual | Surgery (Pediatric Surgery) | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 (505) 272-5913 |
| 1376586925 | JON LOVE M.D. Individual | Pediatrics (Pediatric Cardiology) | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 (505) 272-3864 |
| 1407888613 | MR. JOHN RUSH PIERCE JR. MD Individual | Internal Medicine | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 (505) 272-2147 |
| 1730112392 | DR. SETH H LOWELL MD Individual | Otolaryngology | 2211 LOMAS BLVD NE 2ND FLOOR - SURGICAL SPECIALTY CLINICS ALBUQUERQUE, NM 87106 (505) 272-6451 |
| 1841212347 | ROBERT STRICKLAND MD Individual | Internal Medicine (Gastroenterology) | 2211 LOMAS BLVD NE 5TH FLOOR ALBUQUERQUE, NM 87106 (505) 925-6643 |
| 1831112762 | JOSE A. PADIN-ROSADO MD Individual | Psychiatry & Neurology (Neurology) | 2211 LOMAS BLVD NE ALBUQUERQUE, NM 87106 (505) 272-3342 |
| 1205841764 | NANCY E JOSTE MD Individual | Pathology (Clinical Pathology/Laboratory Medicine) | 2211 LOMAS BLVD NE DEPARTMENT OF PATHOLOGY ALBUQUERQUE, NM 87106 (505) 272-2445 |
| 1245245703 | KENDALL MUSTON ROGERS MD Individual | Internal Medicine | 2211 LOMAS BLVD NE UNM HOSPITAL ALBUQUERQUE, NM 87106 (505) 272-2111 |
| 1053326512 | KAY SEDLER CNM Individual | Advanced Practice Midwife | 2211 LOMAS BLVD NE AMBULATORY CARE CENTER - 4 ALBUQUERQUE, NM 87106 (505) 272-2245 |
| 1043225501 | AMY STAPLES MD Individual | Pediatrics (Pediatric Nephrology) | 2211 LOMAS BLVD NE 3-ACC ALBUQUERQUE, NM 87106 (505) 272-2345 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Heather Stevens Spader Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.