HEATHER STEVENS SPADER MD
NPI 1003012188
Neurological Surgery in Charlottesville, VA

NPI Status: Active since June 25, 2007

Contact Information

1204 W MAIN ST
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 243-5749
Fax: (434) 243-5204

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  • Individual
  • Female
  • Years of Experience 17
  • Neurological Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About HEATHER SPADER

Heather Spader is a provider established in Charlottesville, Virginia and her medical specialization is Neurological Surgery with more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1003012188 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 January 2024.

NPI
1003012188
Provider Name
HEATHER STEVENS SPADER MD
Other Name
HEATHER LYNN STEVENS
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1204 W MAIN ST CHARLOTTESVILLE, VA 22903
Location Phone
(434) 243-5749
Location Fax
(434) 243-5204
Mailing Address
PO BOX 9007 CHARLOTTESVILLE, VA 22906
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
06-25-2007
Last Update Date
01-18-2024
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Heather Spader is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

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.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
015345100MEDICAID (05)FL 

PECOS Enrollment and Medicare Participation Status

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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4486871605

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230710002903

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 22903 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $135
  • Minimum New Patient Price $58.76
  • Maximum New Patient Price $178.23
  • Average New Patient Copayment $33.75
  • Minimum New Patient Copayment $14.69
  • Maximum New Patient Copayment $44.55

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $73.51
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $145.63
  • Average Established Patient Copayment $18.37
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $36.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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 Overall Rating
UNIVERSITY OF VIRGINIA MEDICAL CENTER1215 LEE STREET
CHARLOTTESVILLE, VA 22908
(800) 251-3627Acute Care Hospitals

Reviews for HEATHER STEVENS SPADER MD

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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

The NPI number assigned to this healthcare provider is 1003012188, enumerated in the NPI registry as an "individual" on June 25, 2007

The provider is located at 1204 W Main St Charlottesville, Va 22903 and the phone number is (434) 243-5749

The provider's speciality is Neurological Surgery with taxonomy code 207T00000X

The provider has more than 17 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.

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.

The practitioner is affiliated to the following hospital(s): UNIVERSITY OF VIRGINIA MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.