DR. JONATHAN SPAGNOLA MD
NPI 1205275526
Internal Medicine - Cardiovascular Disease in Staten Island, NY

Active since June 19, 2013PECOS EnrolledAccepts Medicare Assignment
74.97/100
CMS Quality Rating
501 SEAVIEW AVE STE 100, STATEN ISLAND, NY 10305(718) 667-0077 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jonathan Spagnola Md NPPES

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

DR. JONATHAN SPAGNOLA MD (NPI 1205275526) is an individual cardiovascular disease provider in Staten Island, New York, licensed in New York (289462) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205275526
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JONATHAN SPAGNOLACredential: MD
Location Address501 SEAVIEW AVE STE 100Staten Island, NY 10305-3400
Mailing Address501 Seaview Ave Ste 100Staten Island, NY 10305-3400 · (718) 667-0077
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 19, 2013
Last NPPES UpdateDecember 3, 2021
NPPES CertifiedDecember 3, 2021
✔ NPI 1205275526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 289462
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 289462 (NY)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 289462 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 572841215 (NY)
501 SEAVIEW AVE STE 100, Staten Island, NY 10305

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Jonathan Spagnola 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 ID4284979758
PECOS Enrollment IDI20211112000583
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 Reassignment

Medicare enrollment records show Jonathan Spagnola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
501 SEAVIEW AVE, SUITE 100
Staten Island, NY 10305
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 18

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.

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) J0153
An adenosine injection is a quick-acting medication used to manage irregular heart rhythms. It works by slowing down the electrical activity in your heart, allowing it to return to its regular rhythm. This procedure is safe and typically performed under medical supervision.
1,068 services23 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.
465 services242 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
361 services247 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
170 services163 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
134 services134 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
60 services30 patients

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

74.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.68
Improvement Activities40
Cost15.57

Reported Quality Measures

Controlling High Blood Pressure
88%362 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
87%89 patients1/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
56%936 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%1,540 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 515 patients
Patients screened: 91% · 515 patients
100%57 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 338 patients
Patients totalRate: 0% · 338 patients
0%338 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Jonathan Spagnola's NPI number?

The NPI number for Jonathan Spagnola is 1205275526. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Where is Jonathan Spagnola located?

Jonathan Spagnola practices at 501 Seaview Ave Ste 100, Staten Island, NY 10305. The listed phone number is (718) 667-0077.

What is Jonathan Spagnola's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jonathan Spagnola enrolled in Medicare?

Yes. Jonathan Spagnola 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 organization bills Medicare for Jonathan Spagnola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Spagnola reassigns Medicare benefits to Cardiovascular Associates Of Staten Island LLC (Staten Island, NY). The 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 Jonathan Spagnola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jonathan Spagnola affiliated with any hospitals?

According to CMS data, Jonathan Spagnola is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Spagnola was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.