THOMAS ALAN SPETALNICK OD
NPI 1124114046
Optometrist in Atlanta, GA
About Thomas Alan Spetalnick Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS ALAN SPETALNICK OD (NPI 1124114046) is an individual optometrist in Atlanta, Georgia, licensed in Georgia (OPT001121) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Other Identifiers 1
Accepted 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
Thomas Alan Spetalnick Od 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30328
ATLANTA, GA 30328
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124114046, enumerated as an "individual" on October 05, 2006.
The provider is located at 800 MOUNT VERNON HWY SUITE 125 ATLANTA, GA 30328 and the phone number is (404) 256-1125.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.
