DR. SOPHIA SPADAFORE MD
NPI 1770043408
Emergency Medicine in New York, NY

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
1468 MADISON AVE, NEW YORK, NY 10029(212) 824-8069 Get Directions Write a Review

NPPES record last updated: April 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sophia Spadafore Md NPPES

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

DR. SOPHIA SPADAFORE MD (NPI 1770043408) is an individual emergency medicine provider in New York, New York, licensed in New York (311335) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of University Of Arizona College Of Medicine (2019).

NPPES Registry Identity

NPI1770043408
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. SOPHIA SPADAFORECredential: MD
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address1468 Madison AveNew York, NY 10029-6508
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateApril 29, 2023
NPPES CertifiedApril 29, 2023
NPI 1770043408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 311335
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1468 MADISON AVE, New York, NY 10029

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. Sophia Spadafore 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 ID1254662299
PECOS Enrollment IDI20230713002523
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
76 services75 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
70 services59 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
31 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Elmhurst Hospital Center

Acute Care Hospitals · Elmhurst, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330128
Location79-01 BroadwayElmhurst, NY 11373 · Queens County
Emergency services Birthing friendly

Eagle Butte Indian Health Service Hospital

Critical Access Hospitals · Eagle Butte, SD
OwnershipGovernment - Federal
CMS Certification Number431383
Location24276 166th Airport RoadEagle Butte, SD 57625 · Dewey County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029

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 Sophia Spadafore's NPI number?

The NPI number for Sophia Spadafore is 1770043408. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Sophia Spadafore located?

Sophia Spadafore practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (212) 824-8069.

What is Sophia Spadafore's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sophia Spadafore enrolled in Medicare?

Yes. Sophia Spadafore 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 Sophia Spadafore affiliated with any hospitals?

According to CMS data, Sophia Spadafore is affiliated with Mount Sinai Hospital, Mount Sinai St Luke's Roosevelt Hospital, Elmhurst Hospital Center and Eagle Butte Indian Health Service Hospital.

When was this NPI record last updated?

The NPPES record for Sophia Spadafore was last updated on April 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.