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MRS. GINNIE MARIE SPADAFORE-BARRETT PA-C
NPI 1265407530
Physician Assistant in Commerce Township, MI

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
2455 UNION LAKE RD STE 101, COMMERCE TOWNSHIP, MI 48382(248) 363-2239(248) 363-3517 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Aug 6, 2024 (2 updates tracked since 2024).

About Mrs. Ginnie Marie Spadafore-barrett Pa-c NPPES

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

MRS. GINNIE MARIE SPADAFORE-BARRETT PA-C (NPI 1265407530) is an individual physician assistant in Commerce Township, Michigan, licensed in Michigan (5601004186) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Huron Valley-sinai Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1265407530
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. GINNIE MARIE SPADAFORE-BARRETTCredential: PA-C
Location Address2455 UNION LAKE RD STE 101Commerce Township, MI 48382-3596
Mailing Address1501 N Milford Rd Ste 200Milford, MI 48381-1049 · (482) 717-0585 · Fax (248) 717-0845
Phone(248) 363-2239
Fax(248) 363-3517
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 21, 2006
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1265407530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601004186
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.
2455 UNION LAKE RD STE 101, Commerce Township, MI 48382
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Ginnie Marie Spadafore-barrett 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 ID7416930045
PECOS Enrollment IDI20040612000341
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.
110 services53 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.
61 services37 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.
59 services12 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.
48 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services26 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
32 services24 patients

Hospital Affiliations CMS Care Compare

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

Huron Valley-Sinai Hospital

Acute Care Hospitals · Commerce Township, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230277
LocationOne William Carls DriveCommerce Township, MI 48382 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48382 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

Other Providers at the Same Location NPPES

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

DR. RUTH D KOZLOWSKI DO
Internal Medicine
2455 UNION LAKE RD STE 101
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 363-2239

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 Ginnie Spadafore-barrett's NPI number?

The NPI number for Ginnie Spadafore-barrett is 1265407530. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Ginnie Spadafore-barrett located?

Ginnie Spadafore-barrett practices at 2455 Union Lake Rd Ste 101, Commerce Township, MI 48382. The listed phone number is (248) 363-2239.

What is Ginnie Spadafore-barrett's specialty?

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

Is Ginnie Spadafore-barrett enrolled in Medicare?

Yes. Ginnie Spadafore-barrett 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 Ginnie Spadafore-barrett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Ginnie Spadafore-barrett 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 Ginnie Spadafore-barrett affiliated with any hospitals?

According to CMS data, Ginnie Spadafore-barrett is affiliated with Huron Valley-Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Ginnie Spadafore-barrett was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.