NICHOLAS T SPINA III MD
NPI 1841422631
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Seattle, WA

Q: What is Nicholas Spina's NPI number?

The NPI number for Nicholas Spina is 1841422631. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Q: What is Nicholas Spina's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Spina was last updated on November 18, 2021. 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.

Active since August 13, 2009PECOS EnrolledAccepts Medicare Assignment

92.06/100

CMS Quality Rating

1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 520-5700 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Nicholas T Spina Iii Md NPPES

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

NICHOLAS T SPINA III MD (NPI 1841422631) is an individual orthopaedic surgery of the spine provider in Seattle, Washington, licensed in Washington (MD60578958) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (2009).

NPPES Registry Identity

NPI1841422631

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameNICHOLAS T SPINA IIICredential: MD

Location Address1959 NE PACIFIC STSeattle, WA 98195-0001

Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420

Phone(206) 520-5700

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2009

Enumeration DateAugust 13, 2009

Last NPPES UpdateNovember 18, 2021

NPPES CertifiedNovember 18, 2021

✔ NPI 1841422631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in WA · MD60578958

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

1959 NE PACIFIC ST, Seattle, WA 98195

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Other Identifiers 1

Medicaid1841422631WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas T Spina Iii 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 ID2163649799

PECOS Enrollment IDI20140918000210

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.

Medicare Billing Reassignments

Medicare enrollment records show Nicholas Spina reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services

690 mi

Dermatology

165 N. UNIVERSITY AVE. FARMINGTON
Farmington, UT 84025

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1649724139 (801) 213-3200

University Of Utah Pediatric Services

703 mi

Pediatrics

50 N MEDICAL DR
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
751 clinicians in this Medicare group

NPI 1568826055 (801) 587-6336

University Of Utah Surgical Services

703 mi

Neurological Surgery

50 N MEDICAL DR
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
65 clinicians in this Medicare group

NPI 1073915609 (801) 581-2121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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 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.

95 services69 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

76 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

71 services50 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.

63 services52 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

50 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

35 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

32 services32 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

22 services14 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

21 services21 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

20 services20 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131323

Location100 Hospital DriveKetchum, ID 83340 · Blaine County

Emergency services Birthing friendly

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

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.

92.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.57

Promoting Interoperability

100

Improvement Activities

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.

LEONIE A NEVILLE PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (206) 598-4874

ALISA BETH KACHIKIS M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195

King County (206) 598-4070

MS. MARY PATRICIA DODGE MS, OTR/L

Occupational Therapist

1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195

King County (206) 598-4830

RIKA SHIRAKAWA M.D.

Ophthalmology

1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195

King County (206) 558-9616

VEDA TSOI M.D.

Anesthesiology

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (801) 556-7628

KATHRYN TAMURA PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195

King County (206) 598-6060

DR. MARK ROBERT, MICHAEL KILGORE M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195

King County (206) 598-1821

DR. SERKAN MEHMET SAHIN M.D.

Hospitalist

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (206) 543-6420

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 Nicholas Spina's NPI number?

The NPI number for Nicholas Spina is 1841422631. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Where is Nicholas Spina located?

Nicholas Spina practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 520-5700.

What is Nicholas Spina's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Nicholas Spina enrolled in Medicare?

Yes. Nicholas Spina 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.

Which organizations bill Medicare for Nicholas Spina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Spina reassigns Medicare benefits to 3 organizations: University Of Utah Adult Services (Farmington, UT), University Of Utah Pediatric Services (Salt Lake City, UT) and University Of Utah Surgical Services (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Spina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Spina accept?

Health plans from Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Nicholas Spina 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.

Is Nicholas Spina affiliated with any hospitals?

According to CMS data, Nicholas Spina is affiliated with St Luke's Regional Medical Center, St Luke's Wood River Medical Center and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Nicholas Spina was last updated on November 18, 2021. 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.