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DR. JOHN R SPAGNUOLO DMD
NPI 1376561076
Dentist - General Practice in Plains, PA

Active since July 18, 2006Opted out of Medicare · through Feb 2, 2028
189 S RIVER ST, PLAINS, PA 18705(570) 829-2199(570) 829-4224 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John R Spagnuolo Dmd NPPES

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

DR. JOHN R SPAGNUOLO DMD (NPI 1376561076) is an individual general practice provider in Plains, Pennsylvania, licensed in Pennsylvania (DS027901L) and active in the NPI registry since July 2006. He has opted out of Medicare through February 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376561076
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN R SPAGNUOLOCredential: DMD
Location Address189 S RIVER STPlains, PA 18705-1122
Mailing Address189 S River StPlains, PA 18705-1122 · (570) 829-2199 · Fax (570) 829-4224
Phone(570) 829-2199
Fax(570) 829-4224
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376561076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS027901L
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
189 S RIVER ST, Plains, PA 18705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. John R Spagnuolo Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 2, 2016 through February 2, 2028.

Opt-Out Effective DateFebruary 2, 2016
Opt-Out In Effect ThroughFebruary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18705 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 John Spagnuolo's NPI number?

The NPI number for John Spagnuolo is 1376561076. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is John Spagnuolo located?

John Spagnuolo practices at 189 S River St, Plains, PA 18705. The listed phone number is (570) 829-2199.

What is John Spagnuolo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Spagnuolo enrolled in Medicare?

No. John Spagnuolo has opted out of Medicare through February 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does John Spagnuolo accept?

Health plans from Florida Combined Life and Humana list John Spagnuolo 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.

When was this NPI record last updated?

The NPPES record for John Spagnuolo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.