DR. MARIO SPAGGIARI M.D.
NPI 1053754549
Transplant Surgery in Chicago, IL

Active since April 15, 2013PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
820 S WOOD ST, STE 619 CSB - MC 957, CHICAGO, IL 60612(312) 355-1885(312) 355-3763 Get Directions Write a Review

NPPES record last updated: February 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mario Spaggiari M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIO SPAGGIARI M.D. (NPI 1053754549) is an individual transplant surgery provider in Chicago, Illinois, licensed in Illinois (336100546) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053754549
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDR. MARIO SPAGGIARICredential: M.D.
Location Address820 S WOOD ST, STE 619 CSB - MC 957Chicago, IL 60612-4325
Mailing Address840 S Wood St, Ste 402 - Mc 958Chicago, IL 60612-4325 · (312) 996-1774
Fax(312) 355-3763
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 15, 2013
Last NPPES UpdateFebruary 2, 2018
NPI 1053754549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License Licensed in IL · 336100546
Definition

A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License 336100546 (IL)
820 S WOOD ST, Chicago, IL 60612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mario Spaggiari M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103127451
PECOS Enrollment IDI20161122001496
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
89 services43 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
57 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers33 claims23,730 services$1.22 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers16 claims4,380 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers45 claims10,800 services$1.04 avg. paid by Medicare
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant Q0510
Treatment-Chemotherapy · category RH012N
2 suppliers12 claims12 services$39.37 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers55 claims55 services$18.66 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers31 claims31 services$12.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
820 S WOOD ST, MC 675
CHICAGO, IL 60612
Orthopaedic Surgery
820 S WOOD ST
CHICAGO, IL 60612
Internal Medicine (Hematology & Oncology)
820 S WOOD ST, SICKLE CELL CTR. SUITE 172, CLINICAL SCIENCES BUILDING
CHICAGO, IL 60612
Surgery (Plastic and Reconstructive Surgery)
820 S WOOD ST, SUITE 515 CSN
CHICAGO, IL 60612
Psychiatry & Neurology (Psychiatry)
820 S WOOD ST
CHICAGO, IL 60612
Health Maintenance Organization
820 S WOOD ST, SUITE W310 - M/C 974
CHICAGO, IL 60612
Obstetrics & Gynecology (Reproductive Endocrinology)
820 S WOOD ST, M/C 808
CHICAGO, IL 60612
Psychiatry & Neurology (Neurology)
820 S WOOD ST
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Spaggiari's NPI number?

The NPI number for Mario Spaggiari is 1053754549. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Mario Spaggiari located?

Mario Spaggiari practices at 820 S Wood St Ste 619 Csb - Mc 957, Chicago, IL 60612. The listed phone number is (312) 355-1885.

What is Mario Spaggiari's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Mario Spaggiari enrolled in Medicare?

Yes. Mario Spaggiari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mario Spaggiari affiliated with any hospitals?

According to CMS data, Mario Spaggiari is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Mario Spaggiari was last updated on February 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.