ERIC DAMIAN SPAGNUOLO PA-C NPI 1972516318
Physician Assistant in Leominster, MA

About ERIC DAMIAN SPAGNUOLO PA-C

Eric Spagnuolo is a primary care provider established in Leominster, Massachusetts and his medical specialization is Physician Assistant with more than 23 years of experience. The NPI number of Eric Spagnuolo is 1972516318 and was assigned on August 2006. The practitioner's primary taxonomy code is 363A00000X with license number PA1241 (MA). The provider is registered as an individual and his NPI record was last updated October 2022.

NPI
1972516318
Provider Name ERIC DAMIAN SPAGNUOLO PA-C
Location Address60 HOSPITAL RD LEOMINSTER, MA 01453
Location Phone(978) 466-2585
Mailing Address50 HEATH ST SOMERVILLE, MA 02145
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2000
Is Sole Proprietor?No
Enumeration Date08-15-2006
Last Update Date10-21-2022

A primary care provider (PCP) like Eric Damian Spagnuolo Pa-c sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Eric Spagnuolo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Eric Spagnuolo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Lowell General Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.51 for a new patient copayment and $19.15 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.PA1241
License StateMA
Taxonomy DescriptionA 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.

Business Address

ERIC DAMIAN SPAGNUOLO PA-C
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
Phone: (978) 466-2585

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Mailing Address

ERIC DAMIAN SPAGNUOLO PA-C
50 HEATH ST
SOMERVILLE, MA
ZIP 02145
Phone: (617) 628-9817


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7719939040
PECOS Enrollment IDI20071126000602
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 01453 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$61.32 $185.12 $94.07
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.33 $46.28 $23.51
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.31 $151.47 $76.6
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.82 $37.86 $19.15

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 70
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 95
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical1241MANo

Taxonomy Description: Not Available

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972516318
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421011232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 0 + 1 + 1 + 2 + 3 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1972516318 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174513782DR. JAN C ROCKWOOD MD
Individual
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1699765297DR. SHAM RANG KHALSA MD
Individual
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1124018734DR. LEEWOOD L LANE JR. MD
Individual
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1275523946DR. ANTHONY G. DRAPPI MD
Individual
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1497745848DR. GLENN ALLISON M.D.
Individual
Internal Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-4169
1063402493DR. JOSEPH C PALOMBA MD
Individual
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1053375519COORDINATED PRIMARY CARE INC
Organization
Hospitalist60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-4169
1780648774 VAL W SLAYTON MD
Individual
Internal Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2005
1649218967 SERGEY FUZAYLOV M.D.
Individual
Anesthesiology60 HOSPITAL RD LEOMINSTER HOSPITAL
LEOMINSTER, MA 01453
(978) 665-5800
1679512404 MICHAEL G POPIK MD
Individual
Radiology (Diagnostic Radiology)60 HOSPITAL RD RADIOLOGY DEPARTMENT
LEOMINSTER, MA 01453
(978) 466-2685
1376553693WACHUSETT EMERGENCY PHYSICIANS, PC
Organization
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1699865899 CHARLES H LOUCRAFT JR. PA
Individual
Physician Assistant60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1104982438 ROBERT STRAUBE HARPER M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)60 HOSPITAL RD PATHOLOGY DEPT.
LEOMINSTER, MA 01453
(978) 466-2860
1003961988 LILLIAN RICH M.D.
Individual
Emergency Medicine60 HOSPITAL RD WACHUSETT EMERGENCY PHYSICIANS
LEOMINSTER, MA 01453
(978) 466-2994
1467666107 LINDA BRISEBOIS NP
Individual
Nurse Practitioner (Family)60 HOSPITAL RD DEPARTMENT TAKE CHARGE
LEOMINSTER, MA 01453
(978) 466-2060
1013126432 GERMAINE EARLE-CRUICKSHANKS D.O
Individual
Obstetrics & Gynecology (Hospice and Palliative Medicine)60 HOSPITAL RD HEALTH ALLIANCE HOSPITAL
LEOMINSTER, MA 01453
(978) 466-2000
1285880716HEALTHALLIANCE PATHOLOGY, LLC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2860
1851623714COORDINATED PRIMARY CARE, INC.
Organization
Hospitalist60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2257
1609188119DR. CHARLENE LYN STIRLING MD
Individual
Pediatrics60 HOSPITAL RD PEDIATRIC HOSPITAL MEDICINE
LEOMINSTER, MA 01453
(978) 466-2257
1134180912 JOHN B LATIMER MD
Individual
Emergency Medicine60 HOSPITAL RD WACHUSETT EMERGENCY PHYSICIANS PC
LEOMINSTER, MA 01453
(978) 466-2994

Frequently Asked Questions

What is Eric Spagnuolo PA-C NPI number?

The NPI number assigned to Eric Spagnuolo PA-C is 1972516318, registered as an "individual" on August 15, 2006

Where is Eric Spagnuolo PA-C located?

The provider is located at 60 Hospital Rd Leominster, Ma 01453 and the phone number is (978) 466-2585

Which is Eric Spagnuolo PA-C specialty?

The provider's speciality is Physician Assistant

How many years of experience does Eric Spagnuolo PA-C have?

The provider has more than 23 years of experience.

Is Eric Spagnuolo PA-C registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Eric Spagnuolo PA-C?

Medicare beneficiaries should expect a typical cost of $94.07 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $76.6 and an average copayment of 19.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Eric Spagnuolo PA-C was last updated on August 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]