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ANTHONY JOSEPH SPALLINO PA-C
NPI 1831857531
Physician Assistant in Providence, RI

Active since November 30, 2021PECOS EnrolledAccepts Medicare Assignment
593 EDDY STREET, APC 6, PROVIDENCE, RI 02903(401) 606-5891(401) 606-4692 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2023, Aug 29, 2022, Nov 30, 2021 (3 updates tracked since 2021).

About Anthony Joseph Spallino Pa-c NPPES

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

ANTHONY JOSEPH SPALLINO PA-C (NPI 1831857531) is an individual physician assistant in Providence, Rhode Island, licensed in Rhode Island (PA01434) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1831857531
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANTHONY JOSEPH SPALLINOCredential: PA-C
Location Address593 EDDY STREET, APC 6Providence, RI 02903
Mailing Address593 Eddy Street, Apc 6Providence, RI 02903 · (401) 606-5891 · Fax (401) 606-4692
Phone(401) 606-5891
Fax(401) 606-4692
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 30, 2021
Last NPPES UpdateSeptember 21, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
✔ NPI 1831857531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in RI · PA01434
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
593 EDDY STREET, Providence, RI 02903
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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

Anthony Joseph Spallino Pa-c 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 ID6800283854
PECOS Enrollment IDI20220422000259
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.

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.
52 services41 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
23 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number410004
Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County
Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

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.

BRIAN F GIRARD CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
PETER W WOLFERSEDER CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
MARIE A MILLS CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
BETH VANPRAAG CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
JONATHAN D URI MD
Anesthesiology
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
CHRISTINE MARIE RAMALHO DMD
Dentist (General Practice)
593 EDDY STREET, JOSEPH SAMUELS DENTAL CENTER AT RIH
PROVIDENCE, RI 02903
Providence County (401) 444-7195
ANGELA THOMAS CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
NICOLE BRETING APRN
Nurse Practitioner
593 EDDY STREET, APC 4
PROVIDENCE, RI 02903
Providence County (401) 553-8355

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 Anthony Spallino's NPI number?

The NPI number for Anthony Spallino is 1831857531. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Anthony Spallino located?

Anthony Spallino practices at 593 Eddy Street Apc 6, Providence, RI 02903. The listed phone number is (401) 606-5891.

What is Anthony Spallino's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anthony Spallino enrolled in Medicare?

Yes. Anthony Spallino 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 Anthony Spallino affiliated with any hospitals?

According to CMS data, Anthony Spallino is affiliated with Roger Williams Medical Center, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Spallino was last updated on September 21, 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.