THOMAS ALAN SPETALNICK OD
NPI 1124114046
Optometrist in Atlanta, GA

Q: What is Thomas Spetalnick's NPI number?

The NPI number for Thomas Spetalnick is 1124114046. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Thomas Spetalnick's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Spetalnick was last updated on November 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

91.9/100

CMS Quality Rating

800 MOUNT VERNON HWY, SUITE 125, ATLANTA, GA 30328(404) 256-1125(404) 256-1964 Get Directions Write a Review

NPPES record last updated: November 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

NPI1124114046

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTHOMAS ALAN SPETALNICKCredential: OD

Location Address800 MOUNT VERNON HWY, SUITE 125Atlanta, GA 30328-4295

Mailing Address1065 Jodeco RdStockbridge, GA 30281-4953 · (678) 284-6300 · Fax (678) 284-6282

Phone(404) 256-1125

Fax(404) 256-1964

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1986

Enumeration DateOctober 5, 2006

Last NPPES UpdateNovember 16, 2009

✔ NPI 1124114046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in GA · OPT001121

Definition

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.

800 MOUNT VERNON HWY, Atlanta, GA 30328

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINU21254GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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.

PECOS PAC ID7416028345

PECOS Enrollment IDI20080619000380

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.

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.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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.

91.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.16

Promoting Interoperability

Improvement Activities

Cost

94.68

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.

GEORGIA OPHTHALMOLOGY REFERRAL CENTER, LLC

Ophthalmology

800 MOUNT VERNON HWY, SUITE 125
ATLANTA, GA 30328

Fulton County (770) 804-1694

DR. ROBERT DOYLE STULTING M.D.

Ophthalmology

800 MOUNT VERNON HWY, SUITE 125
ATLANTA, GA 30328

Fulton County (404) 256-1125

DR. BRIAN D SALMENSON M.D.

Ophthalmology

800 MOUNT VERNON HWY, SUITE 125
ATLANTA, GA 30328

Fulton County (404) 256-1125

JONATHAN WOOLFSON, MD, P.C.

Ophthalmology

800 MOUNT VERNON HWY, SUITE 120
ATLANTA, GA 30328

Fulton County (770) 804-1684

GEORGIA OPHTHALMOLOGY REFERRAL CENTER

Ophthalmology

800 MOUNT VERNON HWY, STE 130
ATLANTA, GA 30328

Fulton County (770) 804-1684

JONATHAN WOOLFSON, MD, P.C.

Ophthalmology

800 MOUNT VERNON HWY, SUITE 100
ATLANTA, GA 30328

Fulton County (770) 804-1684

JASON SCOT BRODY M.D.

Ophthalmology

800 MOUNT VERNON HWY, SUITE 125
ATLANTA, GA 30328

Fulton County (404) 256-1125

WOOLFSON AMBULATORY SURGERY CENTER, LLC

Clinic/Center (Ophthalmologic Surgery)

800 MOUNT VERNON HWY, SUITE 100
ATLANTA, GA 30328

Fulton County (404) 237-1770

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 Thomas Spetalnick's NPI number?

The NPI number for Thomas Spetalnick is 1124114046. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Thomas Spetalnick located?

Thomas Spetalnick practices at 800 Mount Vernon Hwy Suite 125, Atlanta, GA 30328. The listed phone number is (404) 256-1125.

What is Thomas Spetalnick's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Thomas Spetalnick enrolled in Medicare?

Yes. Thomas Spetalnick 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 Thomas Spetalnick accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Thomas Spetalnick 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.

When was this NPI record last updated?

The NPPES record for Thomas Spetalnick was last updated on November 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.