STUART JAY SPITALNIC MD
NPI 1396702205
Emergency Medicine in Newport, RI

Active since April 26, 2006PECOS Enrolled
97.91/100
CMS Quality Rating
11 FRIENDSHIP ST, NEWPORT, RI 02840(401) 845-1593(401) 847-0650 Get Directions Write a Review

NPPES record last updated: February 23, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stuart Jay Spitalnic Md NPPES

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

STUART JAY SPITALNIC MD (NPI 1396702205) is an individual emergency medicine provider in Newport, Rhode Island, licensed in Rhode Island (MD09168) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396702205
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSTUART JAY SPITALNICCredential: MD
Location Address11 FRIENDSHIP STNewport, RI 02840-2271
Mailing Address11 Friendship StNewport, RI 02840-2271 · (401) 845-1593 · Fax (401) 847-0650
Fax(401) 847-0650
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateFebruary 23, 2009
NPI 1396702205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in RI · MD09168
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

11 FRIENDSHIP ST, Newport, RI 02840

Other Identifiers 3

Medicaid7005435RI
Medicare UPING27724RI
Medicare ID-Type Unspecified007058062RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stuart Jay Spitalnic Md 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for problem of high severity 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.
59 services57 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
44 services40 patients
Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
37 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02840 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
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.

97.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.97
Promoting Interoperability100
Improvement Activities40

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.

Physical Medicine & Rehabilitation
11 FRIENDSHIP ST, TURNER 1
NEWPORT, RI 02840
Internal Medicine
11 FRIENDSHIP ST
NEWPORT, RI 02840
Emergency Medicine
11 FRIENDSHIP ST
NEWPORT, RI 02840
Anesthesiology
11 FRIENDSHIP ST
NEWPORT, RI 02840
Physician Assistant (Medical)
11 FRIENDSHIP ST
NEWPORT, RI 02840
Radiology (Diagnostic Radiology)
11 FRIENDSHIP ST, DEPARTMENT OF DIAGNOSTIC IMAGING
NEWPORT, RI 02840
Psychiatry & Neurology (Psychiatry)
11 FRIENDSHIP ST
NEWPORT, RI 02840
Speech-Language Pathologist
11 FRIENDSHIP ST
NEWPORT, RI 02840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396702205, enumerated as an "individual" on April 26, 2006.

The provider is located at 11 FRIENDSHIP ST NEWPORT, RI 02840 and the phone number is (401) 845-1593.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.