DR. MICHAEL JOHN SPINA M.D.
NPI 1194927160
Radiology - Diagnostic Radiology in Newark, DE

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN-STANTON RD, ROOM 2A00, NEWARK, DE 19718(302) 733-1041 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael John Spina M.d. NPPES

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

DR. MICHAEL JOHN SPINA M.D. (NPI 1194927160) is an individual diagnostic radiology provider in Newark, Delaware, licensed in Delaware (2085R0202X) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2007).

NPPES Registry Identity

NPI1194927160
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MICHAEL JOHN SPINACredential: M.D.
Location Address4755 OGLETOWN-STANTON RD, ROOM 2A00Newark, DE 19718-0001
Mailing Address200 Hygeia Dr Ste 2300Newark, DE 19713-2049
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2007
Enumeration DateJune 1, 2007
Last NPPES UpdateMay 23, 2019
NPI 1194927160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in DE · 2085R0202X Licensed in PA · MD446176
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4755 OGLETOWN-STANTON RD, Newark, DE 19718

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. Michael John Spina 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 ID6406095702
PECOS Enrollment IDI20140701000208
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 39

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
568 services554 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
375 services335 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
314 services313 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
267 services266 patients
Ct scan of lower spine without contrast 72131
A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.
140 services139 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
116 services114 patients

Hospital Affiliations CMS Care Compare 4

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

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.

Nurse Practitioner (Neonatal)
4755 OGLETOWN-STANTON RD, ROOM 2410
NEWARK, DE 19718
Clinical Nurse Specialist (Acute Care)
4755 OGLETOWN-STANTON RD, DEPARTMENT OF MEDICINE-SUITE 4B00
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN-STANTON RD
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN-STANTON RD
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN-STANTON RD
NEWARK, DE 19718
Pharmacist
4755 OGLETOWN-STANTON RD
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN-STANTON RD
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN-STANTON RD
NEWARK, DE 19718

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 Michael Spina's NPI number?

The NPI number for Michael Spina is 1194927160. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Michael Spina located?

Michael Spina practices at 4755 Ogletown-Stanton Rd Room 2a00, Newark, DE 19718. The listed phone number is (302) 733-1041.

What is Michael Spina's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Spina enrolled in Medicare?

Yes. Michael Spina 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 Michael Spina affiliated with any hospitals?

According to CMS data, Michael Spina is affiliated with Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Michael Spina was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.