BRAD VINCENT SPAGNOLO MD
NPI 1689679425
Ophthalmology in Prince Frederick, MD

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678(410) 535-2270(800) 515-9426 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brad Vincent Spagnolo Md NPPES

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

BRAD VINCENT SPAGNOLO MD (NPI 1689679425) is an individual ophthalmology provider in Prince Frederick, Maryland, licensed in Maryland (D0056098) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1995).

NPPES Registry Identity

NPI1689679425
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBRAD VINCENT SPAGNOLOCredential: MD
Location Address800 PRINCE FREDERICK BLVDPrince Frederick, MD 20678-3145
Mailing Address2661 Riva Rd Ste 1030Annapolis, MD 21401-7131 · (410) 571-8733 · Fax (410) 571-6309
Fax(800) 515-9426
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1995
Enumeration DateJune 17, 2005
Last NPPES UpdateMay 15, 2026
NPPES CertifiedMay 15, 2026
NPI 1689679425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MD · D0056098
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
800 PRINCE FREDERICK BLVD, Prince Frederick, MD 20678

Other Identifiers 1

Medicaid111002100MD

Accepted 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

Brad Vincent Spagnolo Md 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 ID1456323369
PECOS Enrollment IDI20100928000257
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 20

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
617 services601 patients
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.
479 services390 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.
285 services221 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
261 services259 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
193 services183 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
190 services190 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20678 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Technician/Technologist (Optician)
800 PRINCE FREDERICK BLVD
PRINCE FREDERICK, MD 20678
Ophthalmology
800 PRINCE FREDERICK BLVD
PRINCE FREDERICK, MD 20678
Anesthesiology
800 PRINCE FREDERICK BLVD
PRINCE FREDERICK, MD 20678
Ophthalmology
800 PRINCE FREDERICK BLVD
PRINCE FREDERICK, MD 20678
Optometrist
800 PRINCE FREDERICK BLVD
PRINCE FREDERICK, MD 20678

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 Brad Spagnolo's NPI number?

The NPI number for Brad Spagnolo is 1689679425. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Brad Spagnolo located?

Brad Spagnolo practices at 800 Prince Frederick Blvd, Prince Frederick, MD 20678. The listed phone number is (410) 535-2270.

What is Brad Spagnolo's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Brad Spagnolo enrolled in Medicare?

Yes. Brad Spagnolo 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 Brad Spagnolo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Brad Spagnolo 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 Brad Spagnolo was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.