Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARILYN D'ANDREA-SPICA MD
NPI 1407898307
Internal Medicine in Lancaster, PA

Q: What is Marilyn D'andrea-spica's NPI number?

The NPI number for Marilyn D'andrea-spica is 1407898307. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Marilyn D'andrea-spica's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 12, 2006PECOS Enrolled

71.17/100

CMS Quality Rating

2301 COLUMBIA AVE, LANCASTER, PA 17603(717) 397-2738 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Marilyn D'andrea-spica Md NPPES

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

MARILYN D'ANDREA-SPICA MD (NPI 1407898307) is an individual internal medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD038545E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407898307

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMARILYN D'ANDREA-SPICACredential: MD

Location Address2301 COLUMBIA AVELancaster, PA 17603-4154

Mailing Address2301 Columbia AveLancaster, PA 17603-4154 · (717) 397-2738

Phone(717) 397-2738

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1407898307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD038545E

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2301 COLUMBIA AVE, Lancaster, PA 17603

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Other Identifiers 1

Medicaid01135310PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marilyn D'andrea-spica 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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

27 services19 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

26 services17 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

22 services16 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

17 services17 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

17 services12 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

71.17/100

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

Scored as part of a group practice

Quality

46.05

Promoting Interoperability

Improvement Activities

Cost

58.7

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Other Providers at the Same Location NPPES 18

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

DR. ROBERT W MARTIN MD

Internal Medicine

2301 COLUMBIA AVE
LANCASTER, PA 17603

Lancaster County (717) 397-2738

REHABCLINICS INC

Clinic/Center (Rehabilitation)

2301 COLUMBIA AVE
LANCASTER, PA 17603

Lancaster County (717) 972-1100

CAROL B SPICHER DIETICIAN

Nutritionist

2301 COLUMBIA AVE
LANCASTER, PA 17603

Lancaster County (717) 397-2738

PAMELA J CURRIE CRNP

Nurse Practitioner

2301 COLUMBIA AVE
LANCASTER, PA 17603

Lancaster County (717) 397-2738

REBECCA CRABTREE FNP

Nurse Practitioner (Family)

2301 COLUMBIA AVE, #1
LANCASTER, PA 17603

Lancaster County (717) 397-2738

JOHN JEFFERY SCOTT MD

Internal Medicine

2301 COLUMBIA AVE
LANCASTER, PA 17603

Lancaster County (717) 397-2738

EVELYN SHEAFFER CRNP

Nurse Practitioner

2301 COLUMBIA AVE
LANCASTER, PA 17603

Lancaster County (717) 397-2738

MRS. REBECCA ANNE YOUNG CRNP MSN

Nurse Practitioner (Adult Health)

2301 COLUMBIA AVE
LANCASTER, PA 17603

Lancaster County (717) 397-2738

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 Marilyn D'andrea-spica's NPI number?

The NPI number for Marilyn D'andrea-spica is 1407898307. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Marilyn D'andrea-spica located?

Marilyn D'andrea-spica practices at 2301 Columbia Ave, Lancaster, PA 17603. The listed phone number is (717) 397-2738.

What is Marilyn D'andrea-spica's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marilyn D'andrea-spica enrolled in Medicare?

Yes. Marilyn D'andrea-spica is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marilyn D'andrea-spica was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.