Philip Spadafora, DO
NPI 1255386959 · Internal Medicine Physician · Garden City, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Philip Spadafora, DO is a Internal Medicine Physician provider in Garden City, NY (NPI 1255386959).
Provider details
- NPI number
- 1255386959
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1878871 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,250 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 1,420 | $97 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 536 | $18 |
| Electrocardiogram (ecg) 1 to 3 Leads With Review By Physician93040 | 324 | $15 |
| Face-To-Face Behavioral Counseling for Obesity, 15 MinutesG0447 | 322 | $27 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 320 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 102 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 498 | 136 |
| Atorvastatin Calcium | 438 | 135 |
| Amlodipine Besylate | 417 | 121 |
| Methylprednisolone | 375 | 252 |
| Metformin Hcl | 266 | 69 |
| Simvastatin | 255 | 67 |
| Losartan Potassium | 220 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$236 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2024-05-15
- Certified
- 2024-05-15
Frequently asked questions
- What is Philip Spadafora's NPI number?
- Philip Spadafora's National Provider Identifier (NPI) is 1255386959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philip Spadafora's specialty?
- Philip Spadafora is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Philip Spadafora located?
- Philip Spadafora's practice location on file with NPPES is 901 Stewart Ave, Garden City, NY 11530.
- What is Philip Spadafora's phone number?
- The practice phone number listed in the NPPES registry for Philip Spadafora is (516) 877-1518.
- Does Philip Spadafora accept Medicare?
- Philip Spadafora is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Philip Spadafora's NPI active?
- Yes — Philip Spadafora's NPI (1255386959) is active in the NPPES registry as of the last update on 2024-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.