DR. PHILIP FORTUNATO SPADAFORA DO
NPI 1255386959
Internal Medicine in Garden City, NY

Q: What is Philip Spadafora's NPI number?

The NPI number for Philip Spadafora is 1255386959. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Philip Spadafora's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Spadafora was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 23, 2006PECOS EnrolledAccepts Medicare Assignment

27.2/100

CMS Quality Rating

901 STEWART AVE, STE 275, GARDEN CITY, NY 11530(516) 877-1518(516) 877-1561 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Philip Fortunato Spadafora Do NPPES

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

DR. PHILIP FORTUNATO SPADAFORA DO (NPI 1255386959) is an individual internal medicine provider in Garden City, New York, licensed in New York (1878871) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1989).

NPPES Registry Identity

NPI1255386959

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. PHILIP FORTUNATO SPADAFORACredential: DO

Location Address901 STEWART AVE, STE 275Garden City, NY 11530

Mailing Address901 Stewart Ave, Ste 275Garden City, NY 11530 · (516) 877-1518 · Fax (516) 877-1561

Phone(516) 877-1518

Fax(516) 877-1561

Sole ProprietorYes

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1989

Enumeration DateMay 23, 2006

Last NPPES UpdateMay 15, 2024

NPPES CertifiedMay 15, 2024

✔ NPI 1255386959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 1878871

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

901 STEWART AVE, Garden City, NY 11530

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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. Philip Fortunato Spadafora Do 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 ID7214979038

PECOS Enrollment IDI20050523000704

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 27

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.

1,420 services491 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician 93040

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. It uses 1 to 3 leads (sensors) placed on your skin. A physician reviews the results to assess heart rate, rhythm, and detect any abnormalities.

324 services299 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

322 services167 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.

320 services295 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

244 services244 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

241 services241 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

224 services224 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

224 services224 patients

Test for hearing various pitches using earphone 92552

This is a hearing test where earphones are worn to detect different pitch levels. Sounds of various frequencies are played, and you indicate when you hear them. This helps evaluate your hearing ability. It's safe, comfortable, and non-invasive.

209 services209 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

166 services132 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.

154 services130 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

149 services148 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

146 services25 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

125 services106 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

101 services100 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

92 services92 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

88 services30 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

88 services30 patients

Pneumococcal vaccine, 23-valent 90732

The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.

56 services55 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

55 services54 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

46 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

37 services12 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

37 services28 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

34 services25 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.

22 services22 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

13 services13 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

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.

27.2/100

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

Individually scored

Quality

25.13

Improvement Activities

Cost

57.17

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

24 suppliers61 claims167 services$6.52 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

19 suppliers32 claims38 services$1.10 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier17 claims17 services$60.15 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier17 claims17 services$32.85 avg. paid by Medicare

Heavy duty wheelchair K0006

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$31.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANGELA PAPAFRAGKOU-KAPETANOS DDS

Dentist (General Practice)

901 STEWART AVE, SUITE 214
GARDEN CITY, NY 11530

Nassau County (516) 742-6845

STANLEY J BERKE MD PC

Ophthalmology

901 STEWART AVE, SUITE 255
GARDEN CITY, NY 11530

Nassau County (516) 794-2020

DR. ANTONIO JOSE CASANOVA

Dentist (General Practice)

901 STEWART AVE, SUITE 200
GARDEN CITY, NY 11530

Nassau County (516) 294-0202

ADVANCED CHIROPRACTIC HEALTHCARE

Chiropractor

901 STEWART AVE, SUITE 285
GARDEN CITY, NY 11530

Nassau County (516) 742-5715

DEVI MEDICAL PC

Internal Medicine (Gastroenterology)

901 STEWART AVE, SUITE 262
GARDEN CITY, NY 11530

Nassau County (516) 222-2727

LEVISAGE COSMETIC AND IMPLANT DENTISTRY

Dentist (General Practice)

901 STEWART AVE, SUITE 206
GARDEN CITY, NY 11530

Nassau County (516) 683-1870

DR. SUDHA MANJARI PRASAD

Pediatrics

901 STEWART AVE, SUITE 206
GARDEN CITY, NY 11530

Nassau County (516) 742-4636

PHILIP R. CASSAR M.D., P.C.

Internal Medicine (Gastroenterology)

901 STEWART AVE, SUITE 240
GARDEN CITY, NY 11530

Nassau County (516) 458-6258

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 Philip Spadafora's NPI number?

The NPI number for Philip Spadafora is 1255386959. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Philip Spadafora located?

Philip Spadafora practices at 901 Stewart Ave Ste 275, Garden City, NY 11530. The listed phone number is (516) 877-1518.

What is Philip Spadafora's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Philip Spadafora enrolled in Medicare?

Yes. Philip Spadafora 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 Philip Spadafora affiliated with any hospitals?

According to CMS data, Philip Spadafora is affiliated with North Shore University Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Philip Spadafora was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.