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DR. RALPH EDGAR SPADA M.D., FACP
NPI 1639376577
Internal Medicine in Leominster, MA

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
50 MEMORIAL DR, SUITE 110, LEOMINSTER, MA 01453(978) 840-0055 Get Directions Write a Review

NPPES record last updated: November 7, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Ralph Edgar Spada M.d., Facp NPPES

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

DR. RALPH EDGAR SPADA M.D., FACP (NPI 1639376577) is an individual internal medicine provider in Leominster, Massachusetts, licensed in Massachusetts (232981) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Saint Louis University School Of Medicine (1982).

NPPES Registry Identity

NPI1639376577
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RALPH EDGAR SPADACredential: M.D., FACP
Location Address50 MEMORIAL DR, SUITE 110Leominster, MA 01453-2238
Mailing Address3 Joyce LnShirley, MA 01464-2350 · (978) 840-0055
Phone(978) 840-0055
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1982
Enumeration DateJuly 2, 2007
Last NPPES UpdateNovember 7, 2009
✔ NPI 1639376577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 232981
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.
50 MEMORIAL DR, Leominster, MA 01453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Dr. Ralph Edgar Spada M.d., Facp 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 ID749371417
PECOS Enrollment IDI20070809000440
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.
183 services86 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.
53 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
38 services38 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
18 services13 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services13 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers12 claims42 services$6.01 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 20

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

COORDINATED PRIMARY CARE INC
Internal Medicine
50 MEMORIAL DR, SUITE 210
LEOMINSTER, MA 01453
Worcester County (978) 466-2339
THOMAS J. SCORNAVACCA, JR.
Family Medicine
50 MEMORIAL DR, SUITE 103
LEOMINSTER, MA 01453
Worcester County (978) 534-8607
DONALD S. LEVINE, M.D. , P.C..
Internal Medicine (Endocrinology, Diabetes & Metabolism)
50 MEMORIAL DR, SUITE 110
LEOMINSTER, MA 01453
Worcester County (978) 840-1388
JIE YIN MD
Psychiatry & Neurology (Neurology)
50 MEMORIAL DR, SUITE 209
LEOMINSTER, MA 01453
Worcester County (978) 466-2411
LLOYD M. ALDERSON M.D.
Psychiatry & Neurology (Neurology)
50 MEMORIAL DR, SUITE 211
LEOMINSTER, MA 01453
Worcester County (978) 466-2411
SUN MEDICAL CLINIC, PC
Clinic/Center (Health Service)
50 MEMORIAL DR, SUITE 110
LEOMINSTER, MA 01453
Worcester County (978) 840-0055
CHEONG H. KIM, MD, INC.
Plastic Surgery (Plastic Surgery Within the Head and Neck)
50 MEMORIAL DR, SUITE 212
LEOMINSTER, MA 01453
Worcester County (978) 537-8377
COORDINATED PRIMRARY CARE INC
Clinic/Center (Physical Therapy)
50 MEMORIAL DR, SUITE 211
LEOMINSTER, MA 01453
Worcester County (978) 537-3355

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 Ralph Spada's NPI number?

The NPI number for Ralph Spada is 1639376577. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Ralph Spada located?

Ralph Spada practices at 50 Memorial Dr Suite 110, Leominster, MA 01453. The listed phone number is (978) 840-0055.

What is Ralph Spada's specialty?

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

Is Ralph Spada enrolled in Medicare?

Yes. Ralph Spada 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.

What insurance does Ralph Spada accept?

Health plans from Anthem Blue Cross and Blue Shield list Ralph Spada 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.

Is Ralph Spada affiliated with any hospitals?

According to CMS data, Ralph Spada is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Ralph Spada was last updated on November 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.