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DR. ANN MARIE SPADAFORA OD
NPI 1952357147
Optometrist in Clarkston, MI

Active since May 26, 2006PECOS Enrolled
6445 CITATION DR STE B, CLARKSTON, MI 48346(248) 922-1862 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ann Marie Spadafora Od NPPES

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

DR. ANN MARIE SPADAFORA OD (NPI 1952357147) is an individual optometrist in Clarkston, Michigan, licensed in Michigan (AS003677) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1952357147
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANN MARIE SPADAFORACredential: OD
Location Address6445 CITATION DR STE BClarkston, MI 48346-2996
Mailing Address8111 Rosebud LaneClarkston, MI 48348 · (248) 709-5099
Phone(248) 922-1862
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 2, 2020
NPPES CertifiedJuly 2, 2020
✔ NPI 1952357147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · AS003677
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6445 CITATION DR STE B, Clarkston, MI 48346
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ann Marie Spadafora Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749463156
PECOS Enrollment IDI20110323000048
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 4

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.
92 services68 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
84 services68 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
55 services53 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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 4

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

SPADAFORA EYE CARE PLLC
Clinic/Center (Medical Specialty)
6445 CITATION DR STE B
CLARKSTON, MI 48346
Oakland County (248) 709-5099
SHELLY CHUMBLER OD LLC
Optometrist
6445 CITATION DR STE B
CLARKSTON, MI 48346
Oakland County (248) 922-1862
MYEYEDR OPTOMETRY OF MICHIGAN, LLC
Optometrist
6445 CITATION DR STE B
CLARKSTON, MI 48346
Oakland County (248) 992-1862
SHELLY CHUMBLER SPURGESS O.D.
Optometrist
6445 CITATION DR STE B
CLARKSTON, MI 48346
Oakland County (248) 922-1862

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 Ann Marie Spadafora's NPI number?

The NPI number for Ann Marie Spadafora is 1952357147. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Ann Marie Spadafora located?

Ann Marie Spadafora practices at 6445 Citation Dr Ste B, Clarkston, MI 48346. The listed phone number is (248) 922-1862.

What is Ann Marie Spadafora's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ann Marie Spadafora enrolled in Medicare?

Yes. Ann Marie Spadafora is registered in the Medicare PECOS enrollment system.

What insurance does Ann Marie Spadafora accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 9 other insurers list Ann Marie Spadafora 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.

When was this NPI record last updated?

The NPPES record for Ann Marie Spadafora was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.