DR. ANNA SPAGNOLI MD
NPI 1346324449
Pediatrics - Pediatric Endocrinology in Chapel Hill, NC
NPI Status: Active since October 25, 2006
Contact Information
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
Phone: (919) 966-4435
- Individual
- Female
- Pediatrics
- Pediatric Endocrinology
- Accepts Insurance
- PECOS Enrolled
About ANNA SPAGNOLI
This page provides the complete NPI Profile along with additional information for Anna Spagnoli, a pediatrician established in Chapel Hill, North Carolina with a medical specialization in Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1346324449 assigned on October 2006. The practitioner's primary taxonomy code is 2080P0205X. The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1346324449
- Provider Name
- DR. ANNA SPAGNOLI MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 101 MANNING DRIVE CHAPEL HILL, NC 27599
- Location Phone
- (919) 966-4435
- Mailing Address
- 101 MANNING DRIVE CHAPEL HILL, NC 27599
- Mailing Phone
- (919) 966-4435
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-25-2006
- Last Update Date
- 11-08-2007
- Code Navigator
A pediatrician like Anna Spagnoli is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Endocrinology
- Taxonomy Code
- 2080P0205X
- Type
- Allopathic & Osteopathic Physicians
- License State
- NC
- Taxonomy Description
- A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0205X | Allopathic & Osteopathic Physicians | Pediatrics | MD35875 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G97960 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Anna Spagnoli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 27599 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $125.01
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $31.25
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 3 | 2 | 4 | 4 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 6 | 2 | 8 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 6 + 2 + 8 + 4 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1346324449 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. KENAN MILES PENASKOVIC MD
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CHAPEL HILL, NC
ZIP 27599
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
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DR. JOHN RUAN STEPHENS M.D.
Hospitalist
101 MANNING DRIVE
CB #7085
CHAPEL HILL, NC
ZIP 27599
MRS. BERNICE SUE NEWSOME APRN-BC
Nurse Practitioner
(Adult Health)
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
JACOB KEITH JOHNSON M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
SUSANNA BRADLEY THACH M.D.
Internal Medicine
(Hospice and Palliative Medicine)
101 MANNING DRIVE
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
CHAPEL HILL, NC
ZIP 27599
JOHNATHAN HARRY STATHOPOULOS MD
Student in an Organized Health Care Education/Training Program
101 MANNING DRIVE
CB# 7160
CHAPEL HILL, NC
ZIP 27599
MISS CHRISTINA KAPSALIS MD
Student in an Organized Health Care Education/Training Program
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
DR. EMILY MILLER RAY MD
Internal Medicine
(Hematology & Oncology)
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
MARCIE L RICHES MD
Internal Medicine
(Medical Oncology)
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
LUCAS STONE MD
Student in an Organized Health Care Education/Training Program
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
LINDSAY TORRICE
Nurse Practitioner
(Pediatrics)
101 MANNING DRIVE
UNC DEPARTMENT OF PEDIATRICS
CHAPEL HILL, NC
ZIP 27599
ELIZABETH COVIELLO DO
Obstetrics & Gynecology
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
EMILY WEI-LING CHEN
Dentist
(General Practice)
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
ELIZABETH KOTZEN MD
Internal Medicine
(Nephrology)
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
DR. LINDSEY PHILLIPS MD
Hospitalist
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
DR. MARTHA ELISABETH LEONG DO, MSCR
Pediatrics
(Pediatric Cardiology)
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
KEVIN ALEXANDER TAM MD
Student in an Organized Health Care Education/Training Program
101 MANNING DRIVE
OLD CLINIC BUILDING 3020 CAMPUS BOX# 7570
CHAPEL HILL, NC
ZIP 27599
NATHAN ANICAS WALKER M.D.
Psychiatry & Neurology
(Sleep Medicine)
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
GOPAL LAKHI NARANG
Urology
101 MANNING DRIVE
CHAPEL HILL, NC
ZIP 27599
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346324449, enumerated as an "individual" on October 25, 2006.
The provider is located at 101 MANNING DRIVE CHAPEL HILL, NC 27599 and the phone number is (919) 966-4435.
Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Molina. Please consult your insurance carrier or call the provider to verify.
