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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: October 18, 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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

9

Medicare enrollment records show Sarah Spadafina reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Galileo Medical Group Ga, P.C.
3.6 mi
Family Medicine
632 BROADWAY PH 12
New York, NY 10012
  • Reassigned Medicare billing, Georgia enrollment
  • 52 clinicians in this Medicare group
NPI 1245920305 (347) 588-0601
North Shore - Lij Medical PC
12 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Roberta A Bianco Dopc
37 mi
Primary Care
994 W JERICHO TPKE STE 201
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Roberta A Bianco Do PC
  • 6 clinicians in this Medicare group
NPI 1609032887 (631) 265-4200
Deaconess Specialty Physicians Inc
710 mi
Hematology & Oncology
1185 N 1000 W
Linton, IN 47441
  • Reassigned Medicare billing, Indiana enrollment
  • 264 clinicians in this Medicare group
NPI 1336956408 (812) 858-3051
Ucm Medical Group Sub, LLC
717 mi
Family Medicine
71 W 156TH ST, 5TH FLOOR
Harvey, IL 60426
  • Reassigned Medicare billing, New York enrollment
NPI 1467442293 (708) 915-6353
Allina Health System
999 mi
Family Medicine
1285 NININGER RD
Hastings, MN 55033
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
NPI 1578869293 (651) 480-4200
Ochsner Mississippi, LLC
1,063 mi
Internal Medicine
7730 OLD CANTON RD
Madison, MS 39110
  • Reassigned Medicare billing, Mississippi enrollment
  • 326 clinicians in this Medicare group
NPI 1891290243 (504) 842-3970
Ochsner Clinic LLC
1,126 mi
General Practice
100 RED CROSS PL
Bogalusa, LA 70427
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
NPI 1366797110 (985) 875-2828
Central Washington Health Services Association
2,318 mi
General Acute Care Hospital
1201 S MILLER ST
Wenatchee, WA 98801
  • Reassigned Medicare billing, New York enrollment
NPI 1881642239 (509) 662-1511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
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

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.

Which organizations bill Medicare for Sarah Spadafina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Spadafina reassigns Medicare benefits to 9 organizations: Galileo Medical Group Ga, P.C. (New York, NY), North Shore - Lij Medical PC (New Hyde Park, NY), Roberta A Bianco Dopc (Smithtown, NY), Deaconess Specialty Physicians Inc (Linton, IN), Ucm Medical Group Sub, LLC (Harvey, IL) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Spadafina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Spadafina accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Texas and 3 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.