PHILIP J SPINUZZA DO
NPI 1326047382
Orthopaedic Surgery in Berlin, MD

Q: What is Philip Spinuzza's NPI number?

The NPI number for Philip Spinuzza is 1326047382. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is Philip Spinuzza's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Spinuzza was last updated on August 27, 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 July 20, 2005PECOS Enrolled

68.14/100

CMS Quality Rating

314 FRANKLIN AVE, SUITE 105B, BERLIN, MD 21811(410) 641-1900(410) 641-9473 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Philip J Spinuzza Do NPPES

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

PHILIP J SPINUZZA DO (NPI 1326047382) is an individual orthopaedic surgery provider in Berlin, Maryland, licensed in Maryland (H0058513) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326047382

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NamePHILIP J SPINUZZACredential: DO

Location Address314 FRANKLIN AVE, SUITE 105BBerlin, MD 21811-1215

Mailing Address314 Franklin Ave, Suite 105bBerlin, MD 21811-1215 · (410) 641-1900 · Fax (410) 641-9473

Phone(410) 641-1900

Fax(410) 641-9473

Sole ProprietorNo

Enumeration DateJuly 20, 2005

Last NPPES UpdateAugust 27, 2024

NPPES CertifiedAugust 27, 2024

✔ NPI 1326047382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MD · H0058513

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

314 FRANKLIN AVE, Berlin, MD 21811

Open in Google Maps ↗

Other Identifiers 1

Medicaid405080100MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip J Spinuzza Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Philip Spinuzza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlantic Orthopaedics PA

0.1 mi

Orthopaedic Surgery

314 FRANKLIN AVE, SUITE 105B
Berlin, MD 21811

Reassigned Medicare billing, Maryland and Delaware enrollments
Also billed through NPI 1649394594 (Delaware)
4 clinicians in this Medicare group

NPI 1639140510 (410) 641-1900

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 19

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

3,881 services308 patients

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

2,160 services26 patients

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.

663 services379 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

446 services270 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.

164 services164 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.

110 services99 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

101 services87 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

56 services41 patients

X-ray of hip, minimum of 4 views 73503

An X-ray of the hip with a minimum of 4 views is a non-invasive procedure that uses a small amount of radiation to produce images of the hip joint from different angles. This helps to diagnose conditions such as fractures, arthritis, or other abnormalities. It's a quick, painless process.

52 services44 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

46 services46 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.

41 services41 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

37 services29 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

26 services13 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

21 services21 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

17 services11 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

16 services12 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

16 services14 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

14 services14 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21811 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

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.

68.14/100

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

Scored as part of a group practice

Quality

80.74

Improvement Activities

Cost

19.47

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.

OCEAN ORTHOPEDICS PC

Orthopaedic Surgery

314 FRANKLIN AVE, SUITE 105B
BERLIN, MD 21811

Worcester County (410) 641-1900

MRS. MONICA ANN EDELMANN

Physical Therapist

314 FRANKLIN AVE, SUITE 405
BERLIN, MD 21811

Worcester County (410) 641-2900

KIMBERLY J POOLE-SYKES LCPC

Counselor (Mental Health)

314 FRANKLIN AVE, SUITE 306
BERLIN, MD 21811

Worcester County (410) 973-2525

MRS. MARY E KAUL-BLACK LCSW C

Social Worker (Clinical)

314 FRANKLIN AVE, SUITE 306
BERLIN, MD 21811

Worcester County (410) 973-2525

ERIN KATHLEEN SULLIVAN

Social Worker (Clinical)

314 FRANKLIN AVE, SUITE 306
BERLIN, MD 21811

Worcester County (410) 973-2525

CAMBRIDGE PHYSICAL THERAPY, LLC

Physical Therapist

314 FRANKLIN AVE, STE 501
BERLIN, MD 21811

Worcester County (410) 641-0999

SUSANNE A HOSHINO PT

Physical Therapist

314 FRANKLIN AVE, SUITE 501
BERLIN, MD 21811

Worcester County (410) 641-0999

MRS. JULIE SEIF SEXTON MS, CRNP

Nurse Practitioner (Family)

314 FRANKLIN AVE, SUITE 301
BERLIN, MD 21811

Worcester County (410) 629-0888

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 Spinuzza's NPI number?

The NPI number for Philip Spinuzza is 1326047382. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Philip Spinuzza located?

Philip Spinuzza practices at 314 Franklin Ave Suite 105B, Berlin, MD 21811. The listed phone number is (410) 641-1900.

What is Philip Spinuzza's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Philip Spinuzza enrolled in Medicare?

Yes. Philip Spinuzza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Philip Spinuzza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Spinuzza reassigns Medicare benefits to Atlantic Orthopaedics PA (Berlin, MD). 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 Philip Spinuzza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Philip Spinuzza was last updated on August 27, 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.