MATTEO SPERA M.D.
NPI 1447636253
Family Medicine in Lawrence, NY

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
215 ROCKAWAY TPKE, LAWRENCE, NY 11559(516) 374-5024(516) 374-5816 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matteo Spera M.d. NPPES

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

MATTEO SPERA M.D. (NPI 1447636253) is an individual family medicine provider in Lawrence, New York, licensed in New York (294497) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in Oceanside.

NPPES Registry Identity

NPI1447636253
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTEO SPERACredential: M.D.
Location Address215 ROCKAWAY TPKELawrence, NY 11559
Mailing Address215 Rockaway TpkeLawrence, NY 11559-1216 · (516) 374-5024 · Fax (516) 374-5816
Fax(516) 374-5816
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 4, 2015
Last NPPES UpdateJuly 2, 2018
NPI 1447636253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 294497
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
215 ROCKAWAY TPKE, Lawrence, NY 11559

Secondary Practice Location 1

Location 1196 Merrick RdOceanside, NY 11572-1420 · Phone (516) 255-8400

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

Matteo Spera 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 ID3779830104
PECOS Enrollment IDI20180717002078
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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
125 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
47 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services26 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11559 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims35 services$5.31 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Physician Assistant (Medical)
215 ROCKAWAY TPKE
LAWRENCE, NY 11559
Physical Medicine & Rehabilitation
215 ROCKAWAY TPKE
LAWRENCE, NY 11559
Family Medicine
215 ROCKAWAY TPKE
LAWRENCE, NY 11559
Physician Assistant
215 ROCKAWAY TPKE
LAWRENCE, NY 11559
Physician Assistant
215 ROCKAWAY TPKE
LAWRENCE, NY 11559
Nurse Practitioner (Adult Health)
215 ROCKAWAY TPKE
LAWRENCE, NY 11559
Internal Medicine
215 ROCKAWAY TPKE
LAWRENCE, NY 11559
Nurse Practitioner (Gerontology)
215 ROCKAWAY TPKE
LAWRENCE, NY 11559

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 Matteo Spera's NPI number?

The NPI number for Matteo Spera is 1447636253. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Matteo Spera located?

Matteo Spera practices at 215 Rockaway Tpke, Lawrence, NY 11559. The listed phone number is (516) 374-5024.

What is Matteo Spera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matteo Spera enrolled in Medicare?

Yes. Matteo Spera 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 Matteo Spera affiliated with any hospitals?

According to CMS data, Matteo Spera is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Matteo Spera was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.