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MARY JO SPALLINA CNM
NPI 1740244649
Advanced Practice Midwife in Rochester, NY

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
777 CANAL VIEW BLVD, SUITE 400, ROCHESTER, NY 14623(585) 244-3430(585) 244-2202 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Jo Spallina Cnm NPPES

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

MARY JO SPALLINA CNM (NPI 1740244649) is an individual advanced practice midwife in Rochester, New York, licensed in New York (F001001-1) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2001).

NPPES Registry Identity

NPI1740244649
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMARY JO SPALLINACredential: CNM
Location Address777 CANAL VIEW BLVD, SUITE 400Rochester, NY 14623
Mailing Address777 Canal View Blvd, Suite 400Rochester, NY 14623 · (585) 244-3430 · Fax (585) 244-2202
Phone(585) 244-3430
Fax(585) 244-2202
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2001
Enumeration DateApril 17, 2006
Last NPPES UpdateSeptember 29, 2023
✔ NPI 1740244649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in NY · F001001-1
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
777 CANAL VIEW BLVD, Rochester, NY 14623
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Other Identifiers 7

Medicaid02198227NY
Other107179CQNY · Preferred Care
Other1899695NY · Ghi
OtherP010011001NY · Bc/bs
Other000923970001NY · Bc/bs Of Western New York
Other000923970002NY · Bc/bs Of Western New York
OtherP010011001NY · Blue Choice

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

Mary Jo Spallina Cnm 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 ID2769659028
PECOS Enrollment IDI20120127000208
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
81%21 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
45%20 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

BROOKE DUNCAN PA-C
Physician Assistant
777 CANAL VIEW BLVD
ROCHESTER, NY 14623
Monroe County (585) 244-3430
LYDIA M PROSPERO PA-C
Physician Assistant (Medical)
777 CANAL VIEW BLVD
ROCHESTER, NY 14623
Monroe County (585) 244-3430

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 Mary Jo Spallina's NPI number?

The NPI number for Mary Jo Spallina is 1740244649. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Mary Jo Spallina located?

Mary Jo Spallina practices at 777 Canal View Blvd Suite 400, Rochester, NY 14623. The listed phone number is (585) 244-3430.

What is Mary Jo Spallina's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Mary Jo Spallina enrolled in Medicare?

Yes. Mary Jo Spallina 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.

When was this NPI record last updated?

The NPPES record for Mary Jo Spallina was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.