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MICHAEL SPAGNOLA M.D.
NPI 1427348689
Internal Medicine in Washington, DC

Active since April 08, 2011PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
2150 PENNSYLVANIA AVE NW STE 5-411, MEDICAL FACULTY ASSOCIATES, WASHINGTON, DC 20037(202) 741-2222 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Spagnola M.d. NPPES

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

MICHAEL SPAGNOLA M.D. (NPI 1427348689) is an individual internal medicine provider in Washington, District Of Columbia, licensed in Virginia (0101256042) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Medstar Montgomery Medical Center, and is a graduate of George Washington University School Of Medicine (2011).

NPPES Registry Identity

NPI1427348689
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL SPAGNOLACredential: M.D.
Location Address2150 PENNSYLVANIA AVE NW STE 5-411, MEDICAL FACULTY ASSOCIATESWashington, DC 20037-3201
Mailing Address2150 Pennsylvania Ave Nw Ste 5-411, Medical Faculty AssociatesWashington, DC 20037-3201 · (202) 741-2222
Phone(202) 741-2222
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2011
Enumeration DateApril 8, 2011
Last NPPES UpdateAugust 25, 2014
✔ NPI 1427348689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101256042
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.
2150 PENNSYLVANIA AVE NW STE 5-411, Washington, DC 20037
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Spagnola M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355567785
PECOS Enrollment IDI20140721002333
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
94 services93 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Montgomery Medical Center

Acute Care Hospitals · Olney, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210018
Location18101 Prince Philip DriveOlney, MD 20832 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Other Providers at the Same Location NPPES

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

DR. CHAD HENSON MARTINS MD
Internal Medicine
2150 PENNSYLVANIA AVE NW STE 5-411, MEDICAL FACULTY ASSOCIATES
WASHINGTON, DC 20037
District of Columbia (202) 741-2222

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 Michael Spagnola's NPI number?

The NPI number for Michael Spagnola is 1427348689. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Where is Michael Spagnola located?

Michael Spagnola practices at 2150 Pennsylvania Ave NW Ste 5-411 Medical Faculty Associates, Washington, DC 20037. The listed phone number is (202) 741-2222.

What is Michael Spagnola's specialty?

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

Is Michael Spagnola enrolled in Medicare?

Yes. Michael Spagnola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Spagnola affiliated with any hospitals?

According to CMS data, Michael Spagnola is affiliated with Medstar Montgomery Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Spagnola was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.