Mark Spaccapaniccia, D.P.M.
NPI 1003994112 · Podiatrist · Lombard, IL
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Spaccapaniccia, D.P.M. is a Podiatrist provider in Lombard, IL (NPI 1003994112).
Provider details
- NPI number
- 1003994112
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,249 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 551 | $93 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 461 | $132 |
| Removal of Muscle And/Or Tissue, 20.0 Sq Cm Or Less11043 | 74 | $243 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 58 | $134 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 52 | $62 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 20 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ciclopirox Olaminebrand: Ciclopirox | 35 | 17 |
| Cephalexin | 26 | 16 |
| Silver Sulfadiazinebrand: Ssd | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2021-09-09
- Certified
- 2021-09-09
Frequently asked questions
- What is Mark Spaccapaniccia's NPI number?
- Mark Spaccapaniccia's National Provider Identifier (NPI) is 1003994112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Spaccapaniccia's specialty?
- Mark Spaccapaniccia is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Mark Spaccapaniccia located?
- Mark Spaccapaniccia's practice location on file with NPPES is 2340 S Highland Ave, Lombard, IL 60148-5371.
- What is Mark Spaccapaniccia's phone number?
- The practice phone number listed in the NPPES registry for Mark Spaccapaniccia is (630) 495-3338.
- Does Mark Spaccapaniccia accept Medicare?
- Mark Spaccapaniccia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Spaccapaniccia's NPI active?
- Yes — Mark Spaccapaniccia's NPI (1003994112) is active in the NPPES registry as of the last update on 2021-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.