1. Home
  2. Directory
  3. New Jersey
  4. Hackensack
  5. Thoracic Surgery Cardiothoracic Vascular Surgery
  6. NPI Profile

DR. MICHAEL SPALLONE M.D.
NPI 1700270618
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Hackensack, NJ

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
20 PROSPECT AVE STE 701, HACKENSACK, NJ 07601(551) 996-5960(551) 996-0684 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2022, Jul 8, 2020 (2 updates tracked since 2020).

About Dr. Michael Spallone M.d. NPPES

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

DR. MICHAEL SPALLONE M.D. (NPI 1700270618) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Hackensack, New Jersey, licensed in New Jersey (25MA10746800) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1700270618
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. MICHAEL SPALLONECredential: M.D.
Location Address20 PROSPECT AVE STE 701Hackensack, NJ 07601-1963
Mailing Address1468 Madison AveNew York, NY 10029-6508 · (212) 241-6500
Phone(551) 996-5960
Fax(551) 996-0684
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 28, 2015
Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
✔ NPI 1700270618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in NJ · 25MA10746800
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20 PROSPECT AVE STE 701, Hackensack, NJ 07601
Open in Google Maps ↗

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. Michael Spallone 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 ID4688041601
PECOS Enrollment IDI20221104000325
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 7

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.

Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
34 services34 patients
Computer-assisted image-guided navigation of lung airways using an endoscope 31627
This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.
24 services23 patients
Initial removal of wedge of lung tissue using an endoscope 32666
This procedure involves the use of an endoscope, a thin tube with a light and camera, to view and remove a small wedge of lung tissue. It's performed to diagnose or treat lung conditions. The process is minimally invasive, reducing recovery time.
23 services23 patients
Placement of radiation therapy markers into lung airways using an endoscope 31626
This procedure involves inserting tiny markers into your lung airways with an endoscope, a thin tube with a light and camera. These markers help accurately target radiation therapy, improving its effectiveness in treating lung conditions.
17 services17 patients
Exam of lung with removal of lung lobe using an endoscope 32663
This is a procedure where an endoscope, a thin tube with a light and camera, is used to examine the lung and remove a lobe if necessary. It's less invasive than traditional surgery, resulting in shorter recovery time.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Hackensack Meridian Health Pascack Valley Medical

Acute Care Hospitals · Westwood, NJ
4/5 CMS rating
OwnershipProprietary
CMS Certification Number310130
Location250 Old Hook RoadWestwood, NJ 07675 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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 Michael Spallone's NPI number?

The NPI number for Michael Spallone is 1700270618. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Where is Michael Spallone located?

Michael Spallone practices at 20 Prospect Ave Ste 701, Hackensack, NJ 07601. The listed phone number is (551) 996-5960.

What is Michael Spallone's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Michael Spallone enrolled in Medicare?

Yes. Michael Spallone 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 Michael Spallone affiliated with any hospitals?

According to CMS data, Michael Spallone is affiliated with Hackensack University Medical Center, Hackensack Meridian Health, Mountainside Medical, Jfk Medical Center and Hackensack Meridian Health Pascack Valley Medical.

When was this NPI record last updated?

The NPPES record for Michael Spallone was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.