Monica Spellman, PA
NPI 1568493955 · Physician Assistant · Fredericksburg, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Spellman, PA is a Physician Assistant provider in Fredericksburg, VA (NPI 1568493955).
Provider details
- NPI number
- 1568493955
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- OA000294L (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
870 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 294 | $105 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 245 | $74 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 230 | $91 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 70 | $137 |
| Ultrasound Scan of Organ Tissue for Measuring Elasticity76981 | 20 | $86 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 178 | 61 |
| Omeprazole | 151 | 58 |
| Famotidine | 93 | 44 |
| Lipase/Protease/Amylasebrand: Creon | 64 | 21 |
| Linaclotidebrand: Linzess | 36 | 15 |
| Cholestyramine (with Sugar)brand: Cholestyramine | 31 | 11 |
| Promethazine Hcl | 28 | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,655 across 133 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
- 2006-07-05
- Last updated
- 2014-11-07
Frequently asked questions
- What is Monica Spellman's NPI number?
- Monica Spellman's National Provider Identifier (NPI) is 1568493955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Spellman's specialty?
- Monica Spellman is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Monica Spellman located?
- Monica Spellman's practice location on file with NPPES is 1031 Care Way, Fredericksburg, VA 22401-8425.
- What is Monica Spellman's phone number?
- The practice phone number listed in the NPPES registry for Monica Spellman is (540) 371-7600.
- Does Monica Spellman accept Medicare?
- Monica Spellman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Spellman's NPI active?
- Yes — Monica Spellman's NPI (1568493955) is active in the NPPES registry as of the last update on 2014-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.