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DR. ZACHARY S SPIGELMAN MD
NPI 1063470011
Internal Medicine - Hematology & Oncology in Derry, NH

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
6 TSIENNETO RD STE 204, DERRY, NH 03038(603) 421-2156(603) 421-2307 Get Directions Write a Review

NPPES record last updated: November 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Zachary S Spigelman Md NPPES

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

DR. ZACHARY S SPIGELMAN MD (NPI 1063470011) is an individual hematology & oncology provider in Derry, New Hampshire, licensed in New Hampshire (18538) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and is a graduate of State University Of Ny Upstate Medical University (1983).

NPPES Registry Identity

NPI1063470011
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ZACHARY S SPIGELMANCredential: MD
Location Address6 TSIENNETO RD STE 204Derry, NH 03038-1584
Mailing Address99 Lincoln StFramingham, MA 01702-6327 · (508) 383-8510 · Fax (508) 383-8584
Phone(603) 421-2156
Fax(603) 421-2307
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1983
Enumeration DateMay 1, 2006
Last NPPES UpdateNovember 6, 2017
✔ NPI 1063470011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in NH · 18538✔ Licensed in MA · 55820
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
6 TSIENNETO RD STE 204, Derry, NH 03038
Open in Google Maps ↗

Other Identifiers 12

Other3004513MA · Tufts
Medicaid3081893MA
Other3004513MA · United Health Care
OtherJ11619MA · Bcbs
Medicaid30200149NH
Other64034MA · Aetna
Other304783MA · Cigna
Other14391MA · Harvard Pilgrim
Medicare PINJ11619MA
Other006137MA · One Health Plan
Other110060833MA · Railroad Medicare
Other0008939MA · Neighborhood Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

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. Zachary S Spigelman Md 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 ID6406838614
PECOS Enrollment IDI20171129003337
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Parkland Medical Center

Acute Care Hospitals · Derry, NH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number300017
Location1 Parkland DriveDerry, NH 03038 · Rockingham County
Emergency services

Southern Nh Medical Center

Acute Care Hospitals · Nashua, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300020
Location8 Prospect StreetNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300023
Location5 Alumni DriveExeter, NH 03833 · Rockingham County
Emergency services Birthing friendly

Catholic Medical Center

Acute Care Hospitals · Manchester, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300034
Location100 Mcgregor StreetManchester, NH 03102 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$174.26 typical visit price
range $57.75 – $174.26
Typical copayment $43.56 (range $14.43 – $43.56)
Most-billed visit code 99205
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier23 claims780 services$10.98 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier23 claims156 services$279.42 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier22 claims151 services$8.00 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier23 claims156 services$24.98 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

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

HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC.
Clinic/Center (Radiology, Mammography)
6 TSIENNETO RD STE 204
DERRY, NH 03038
Rockingham County (603) 421-2156

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 Zachary Spigelman's NPI number?

The NPI number for Zachary Spigelman is 1063470011. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Zachary Spigelman located?

Zachary Spigelman practices at 6 Tsienneto Rd Ste 204, Derry, NH 03038. The listed phone number is (603) 421-2156.

What is Zachary Spigelman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Zachary Spigelman enrolled in Medicare?

Yes. Zachary Spigelman 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.

What insurance does Zachary Spigelman accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Zachary Spigelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Zachary Spigelman affiliated with any hospitals?

According to CMS data, Zachary Spigelman is affiliated with Elliot Hospital, Parkland Medical Center, Southern Nh Medical Center, Exeter Hospital Inc and Catholic Medical Center.

When was this NPI record last updated?

The NPPES record for Zachary Spigelman was last updated on November 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.