MRS. TARA E SPALDING PA-C
NPI 1255812129
Physician Assistant in Newport News, VA

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
11803 JEFFERSON AVE STE 230, NEWPORT NEWS, VA 23606(757) 534-7701(757) 534-7708 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2025, Feb 16, 2022, Dec 12, 2021 and 2 more (5 updates tracked since 2018).

About Mrs. Tara E Spalding Pa-c NPPES

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

MRS. TARA E SPALDING PA-C (NPI 1255812129) is an individual physician assistant in Newport News, Virginia, licensed in Virginia (0110007328) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Sentara Williamsburg Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255812129
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TARA E SPALDINGCredential: PA-C
Location Address11803 JEFFERSON AVE STE 230Newport News, VA 23606-4390
Mailing Address4374 New Town AveWilliamsburg, VA 23188-2865
Fax(757) 534-7708
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2018
Last NPPES UpdateMarch 26, 20255 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
NPI 1255812129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in VA · 0110007328 Licensed in IN · 10002506A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11803 JEFFERSON AVE STE 230, Newport News, VA 23606

Secondary Practice Locations 2

Location 14374 New Town AveWilliamsburg, VA 23188-2865 · Phone (757) 772-6124 · Fax (757) 267-9495
Location 2217 Bulifants Blvd Ste BWilliamsburg, VA 23188-5751 · Phone (757) 534-7701 · Fax (757) 534-7708

Other Identifiers 1

Medicaid300027406IN

Accepted 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

Mrs. Tara E Spalding Pa-c 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 ID4183951486
PECOS Enrollment IDI20201117003161
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 8

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.
177 services163 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
138 services68 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.
94 services89 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
71 services70 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.
40 services40 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.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
11803 JEFFERSON AVE STE 230
NEWPORT NEWS, VA 23606
Nurse Practitioner (Family)
11803 JEFFERSON AVE STE 230
NEWPORT NEWS, VA 23606
Nurse Practitioner (Family)
11803 JEFFERSON AVE STE 230
NEWPORT NEWS, VA 23606
Internal Medicine (Gastroenterology)
11803 JEFFERSON AVE STE 230
NEWPORT NEWS, VA 23606
Internal Medicine (Gastroenterology)
11803 JEFFERSON AVE STE 230
NEWPORT NEWS, VA 23606

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 Tara Spalding's NPI number?

The NPI number for Tara Spalding is 1255812129. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Tara Spalding located?

Tara Spalding practices at 11803 Jefferson Ave Ste 230, Newport News, VA 23606. The listed phone number is (757) 534-7701.

What is Tara Spalding's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tara Spalding enrolled in Medicare?

Yes. Tara Spalding 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 Tara Spalding accept?

Health plans from CareSource list Tara Spalding 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.

Is Tara Spalding affiliated with any hospitals?

According to CMS data, Tara Spalding is affiliated with Sentara Williamsburg Regional Medical Center and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Tara Spalding was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.