Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RACHAEL NICOLE SPADY MD
NPI 1205329547
Obstetrics & Gynecology in Kailua, HI

Active since June 12, 2018PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
640 ULUKAHIKI ST, KAILUA, HI 96734(808) 263-5500 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Apr 16, 2026, Oct 4, 2022 and 1 more (4 updates tracked since 2018).

About Dr. Rachael Nicole Spady Md NPPES

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

DR. RACHAEL NICOLE SPADY MD (NPI 1205329547) is an individual obstetrics & gynecology provider in Kailua, Hawaii, licensed in Indiana (01099684A) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (2018).

NPPES Registry Identity

NPI1205329547
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. RACHAEL NICOLE SPADYCredential: MD
Location Address640 ULUKAHIKI STKailua, HI 96734-4454
Mailing Address642 Ulukahiki St Ste 305Kailua, HI 96734-4439 · (808) 263-5433
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2018
Enumeration DateJune 12, 2018
Last NPPES UpdateOctober 5, 20264 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1205329547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 01099684A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
640 ULUKAHIKI ST, Kailua, HI 96734

Other Names 1

Other Name (5)Dr. Nicole Spady Roberts Md

Secondary Practice Locations 3

Location 11100 Mercer AveDecatur, IN 46733-2303 · Phone (260) 724-2145
Location 21319 Punahou StHonolulu, HI 96826-1028 · Phone (808) 983-6000
Location 355-510 Kamehameha Hwy Ste 5Laie, HI 96762-1119 · Phone (808) 263-5017

Accepted 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

Dr. Rachael Nicole Spady 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 ID6204212350
PECOS Enrollment IDI20220927003957
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 Rachael Spady reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
640 ULUKAHIKI ST
Kailua, HI 96734
  • Reassigned Medicare billing, Hawaii enrollment
  • 110 clinicians in this Medicare group
Rural Health
205 TOWER DR
Monroe, IN 46772
  • Reassigned Medicare billing, Indiana enrollment
  • 96 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96734 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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 Anesthetist, Certified Registered
640 ULUKAHIKI ST
KAILUA, HI 96734
Emergency Medicine
640 ULUKAHIKI ST
KAILUA, HI 96734
Nurse Anesthetist, Certified Registered
640 ULUKAHIKI ST
KAILUA, HI 96734
Emergency Medicine
640 ULUKAHIKI ST, AH CASTLE/EMERGENCY DEPT
KAILUA, HI 96734
Emergency Medicine
640 ULUKAHIKI ST
KAILUA, HI 96734
General Acute Care Hospital
640 ULUKAHIKI ST, INPATIENT PHARMACY
KAILUA, HI 96734
Emergency Medicine
640 ULUKAHIKI ST
KAILUA, HI 96734
Registered Nurse
640 ULUKAHIKI ST
KAILUA, HI 96734

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 Rachael Spady's NPI number?

The NPI number for Rachael Spady is 1205329547. It was assigned to this individual provider in the NPPES registry on June 12, 2018. The provider is also known as Dr. Nicole Spady Roberts MD.

Where is Rachael Spady located?

Rachael Spady practices at 640 Ulukahiki St, Kailua, HI 96734. The listed phone number is (808) 263-5500.

What is Rachael Spady's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rachael Spady enrolled in Medicare?

Yes. Rachael Spady 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 Rachael Spady's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Spady reassigns Medicare benefits to 3 organizations: Castle Medical Center (Kailua, HI), Adams County Memorial Hospital (Monroe, IN) and Kettering Independent Medical Group Inc (Miamisburg, OH). 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 Rachael Spady's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Spady accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Rachael Spady 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 Rachael Spady was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.