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DR. SARAH M SPADAFINA MD
NPI 1467772962
Family Medicine in Long Island City, NY

Active since June 07, 2010PECOS Enrolled
91.25/100
CMS Quality Rating
41-40 27TH STREET, LONG ISLAND CITY, NY 11101(718) 784-2240 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 12, 2024, Jun 6, 2019, May 17, 2017 (3 updates tracked since 2017).

About Dr. Sarah M Spadafina Md NPPES

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

DR. SARAH M SPADAFINA MD (NPI 1467772962) is an individual family medicine provider in Long Island City, New York, licensed in New York (272081) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467772962
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SARAH M SPADAFINACredential: MD
Location Address41-40 27TH STREETLong Island City, NY 11101
Mailing Address994 W Jericho Tpke, Ste 201Smithtown, NY 11787-3234 · (631) 670-7700 · Fax (631) 343-7760
Phone(718) 784-2240
Sole ProprietorYes
Enumeration DateJune 7, 2010
Last NPPES UpdateDecember 12, 20243 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1467772962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 272081✔ Licensed in LA · 325488
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.

41-40 27TH STREET, Long Island City, NY 11101
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11401 Jefferson HwyNew Orleans, LA 70121-2426 · Phone (504) 842-4000
Location 2632 Broadway PhNew York, NY 10012-2614 · Phone (800) 731-4254

Other Identifiers 1

Medicaid03760574NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, CareSource, HMO Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sarah M Spadafina 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.

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.
190 services103 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.
136 services95 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.
72 services72 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
24 services24 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.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11101 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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

Other Providers at the Same Location NPPES 4

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

DR. MELANIE ISRAELOVITCH M.D.
Psychiatry & Neurology (Psychiatry)
41-40 27TH STREET, THE FLOATING HOSPITAL AT LONG ISLAND CITY
LONG ISLAND CITY, NY 11101
Queens County (718) 784-0240
MELISSA ANN WALLENTIN RPA-C
Physician Assistant (Medical)
41-40 27TH STREET, C/O THE FLOATING HOSPITAL
LONG ISLAND CITY, NY 11101
Queens County (718) 784-2240
AMI J PATEL M.D.
Internal Medicine
41-40 27TH STREET, THE FLOATING HOSPITAL
LONG ISLAND CITY, NY 11101
Queens County (718) 784-2240
DR. MAURA PEGEEN SULLIVAN-MALONEY D.D.S.
Dentist
41-40 27TH STREET
LONG ISLAND CITY, NY 11101
Queens County (718) 784-2240

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 Sarah Spadafina's NPI number?

The NPI number for Sarah Spadafina is 1467772962. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Sarah Spadafina located?

Sarah Spadafina practices at 41-40 27th Street, Long Island City, NY 11101. The listed phone number is (718) 784-2240.

What is Sarah Spadafina's specialty?

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

Is Sarah Spadafina enrolled in Medicare?

Yes. Sarah Spadafina is registered in the Medicare PECOS enrollment system.

What insurance does Sarah Spadafina accept?

Health plans from Blue Cross and Blue Shield of Montana, CareSource, HMO Louisiana, Medica and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Sarah Spadafina 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 Sarah Spadafina was last updated on December 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.