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DANIEL LORANG SPINOSA MD
NPI 1083110969
Obstetrics & Gynecology - Gynecologic Oncology in Edgewood, KY

Active since April 01, 2018PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017(859) 301-2237 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daniel Lorang Spinosa Md NPPES

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

DANIEL LORANG SPINOSA MD (NPI 1083110969) is an individual gynecologic oncology provider in Edgewood, Kentucky, licensed in Kentucky (61035) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1083110969
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDANIEL LORANG SPINOSACredential: MD
Location Address1 MEDICAL VILLAGE DRIVEEdgewood, KY 41017-3403
Mailing Address3219 Clifton Ave Ste 100Cincinnati, OH 45220-3035 · (513) 862-1888 · Fax (513) 862-3616
Phone(859) 301-2237
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 1, 2018
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1083110969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Licenses✔ Licensed in KY · 61035✔ Licensed in CO · DR.0068061✔ Licensed in OH · 35.153748
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
1 MEDICAL VILLAGE DRIVE, Edgewood, KY 41017
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1777 Bannock StDenver, CO 80204 · Phone (303) 602-3192
Location 21665 Aurora CtAurora, CO 80045-2517 · Phone (720) 848-0000
Location 33219 Clifton Ave Ste 100Cincinnati, OH 45220-3035 · Phone (513) 862-1888 · Fax (513) 862-3616

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Lorang Spinosa 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 ID1759769219
PECOS Enrollment IDI20250725004021, I20250806003248
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Daniel Spinosa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Elizabeth Medical Center, Inc.
0.1 mi
Family Medicine
413 S LOOP RD
Edgewood, KY 41017
  • Reassigned Medicare billing, Kentucky enrollment
  • 275 clinicians in this Medicare group
NPI 1710001185 (859) 301-3800
Trihealth H LLC
9.4 mi
Obstetrics
375 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1811215742 (513) 862-3452
Denver Health And Hospital Authority
1,093 mi
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
NPI 1477569838 (303) 436-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

DEBORAH ELAINE BLISS ACNP
Nurse Practitioner (Acute Care)
1 MEDICAL VILLAGE DRIVE, ST. ELIZABETH HEALTHCARE
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
DR. IAN CRAIG TALBOTT D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017
Kenton County (859) 301-2018
KATHERINE WOEBKENBERG MD
Family Medicine (Hospice and Palliative Medicine)
1 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017
Kenton County (859) 301-4688
DR. BYRON W MARKS MD
Radiology (Diagnostic Radiology)
1 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017
Kenton County (859) 301-2160
DELIA G MONROE ARNP-C
Nurse Practitioner
1 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
LYNNSEY MICHELLE TROG APRN
Nurse Practitioner
1 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017
Kenton County (859) 301-5652
EMILY JULIA WILLIAMS
Physician Assistant
1 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017
Kenton County (859) 301-2465
DR. RICHARD H LAIB MD
Radiology (Diagnostic Radiology)
1 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017
Kenton County (859) 301-2160

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 Daniel Spinosa's NPI number?

The NPI number for Daniel Spinosa is 1083110969. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Where is Daniel Spinosa located?

Daniel Spinosa practices at 1 Medical Village Drive, Edgewood, KY 41017. The listed phone number is (859) 301-2237.

What is Daniel Spinosa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Daniel Spinosa enrolled in Medicare?

Yes. Daniel Spinosa 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.

Which organizations bill Medicare for Daniel Spinosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Spinosa reassigns Medicare benefits to 3 organizations: St. Elizabeth Medical Center, Inc. (Edgewood, KY), Trihealth H LLC (Cincinnati, OH) and Denver Health And Hospital Authority (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Spinosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Spinosa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Daniel Spinosa 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 Daniel Spinosa affiliated with any hospitals?

According to CMS data, Daniel Spinosa is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Daniel Spinosa was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.