Dr. Nicholas Anthony Spinelli , MD
Surgery โข Charlottesville, VA
500 Martha Jefferson Dr Fl 5
Charlottesville, VA 22911
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 13, 2008; this date does not establish years in practice.
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Published CMS data list 651 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 141 service units.
- 99204 โ New patient outpatient office visit: 70 service units.
- 99203 โ New patient outpatient office visit: 54 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 18 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 119 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 105 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) โ 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Surgery in Charlottesville, VA (2024, 23 clinicians with data). Median for this group: 221. Middle half: 116 to 414.
More Medicare Part B services than 90% of clinicians listed under Surgery in Virginia (2024, 430 clinicians with data). Median for this group: 235. Middle half: 111 to 391.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 382 in 2020 to 651 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
500 Martha Jefferson Dr Fl 5
Charlottesville, VA 22911
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Martha Jefferson Medical Group Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Tufts University School Of Medicine
2005
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
309 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $92,730 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $69,809 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
119 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$388 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,492.16 across 17 records.
By nature of payment
- Travel and Lodging: $1,240.09 across 10 records.
- Food and Beverage: $252.07 across 7 records.
Reporting-company totals
- INTUITIVE SURGICAL, INC.: $1,492.16 across 17 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
21 years (graduated 2005)
CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Spinelli has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Spinelli as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Charlottesville and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Surgery in Charlottesville, VA (2024, 23 clinicians with data). Median for this group: 221. Middle half: 116 to 414.
More Medicare Part B services than 90% of clinicians listed under Surgery in Virginia (2024, 430 clinicians with data). Median for this group: 235. Middle half: 111 to 391.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Surgery in Charlottesville, VA (2024, 23 clinicians with data). Median for this group: $29,279. Middle half: $9,962 to $61,472.
A higher Medicare-allowed amount than 85% of clinicians listed under Surgery in Virginia (2024, 430 clinicians with data). Median for this group: $30,215. Middle half: $12,133 to $59,476.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Surgery in Charlottesville, VA (2024, 23 clinicians with data). Median for this group: $21,534. Middle half: $7,790 to $47,002.
A higher Medicare payment amount than 85% of clinicians listed under Surgery in Virginia (2024, 430 clinicians with data). Median for this group: $23,123. Middle half: $9,101 to $46,099.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Surgery in Charlottesville, VA (2024, 15 clinicians with data). Median for this group: 58. Middle half: 15 to 184.
More Part D prescriptions than 75% of clinicians listed under Surgery in Virginia (2024, 366 clinicians with data). Median for this group: 52. Middle half: 24 to 117.
Part D drug cost
Close to the middle for clinicians listed under Surgery in Charlottesville, VA (2024, 15 clinicians with data). Median for this group: $155. Middle half: $117 to $1,826.
A higher Part D drug cost than 60% of clinicians listed under Surgery in Virginia (2024, 366 clinicians with data). Median for this group: $225. Middle half: $84 to $1,156.
36 active clinicians are listed under Surgery with a practice address in Charlottesville, VA (865 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Charlottesville
19.4% of these 36 clinicians have the CMS telehealth indicator.
72.2% of these 36 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 70% from 382 in 2020 to 651 in 2024.
- 2020: 382
- 2021: 546
- 2022: 458
- 2023: 663
- 2024: 651
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Medicare-allowed amount
Medicare-allowed amount increased 42% from $65,440 in 2020 to $92,730 in 2024.
- 2020: $65,440
- 2021: $83,410
- 2022: $63,459
- 2023: $85,508
- 2024: $92,730
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Paid by Medicare
Paid by Medicare increased 38% from $50,711 in 2020 to $69,809 in 2024.
- 2020: $50,711
- 2021: $62,977
- 2022: $48,522
- 2023: $64,246
- 2024: $69,809
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 177% from 43 in 2020 to 119 in 2024.
- 2020: 43
- 2021: 79
- 2022: 72
- 2023: 89
- 2024: 119
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30-day fills
30-day fills increased 177% from 43 in 2020 to 119 in 2024.
- 2020: 43
- 2021: 79
- 2022: 72
- 2023: 89
- 2024: 119
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Part D drug cost
Part D drug cost went from $300 in 2020 to $388 in 2024.
- 2020: $300
- 2021: $483
- 2022: $247
- 2023: $257
- 2024: $388
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $13.93 in 2021 to $1,492.16 in 2025.
- 2021: $13.93
- 2025: $1,492.16
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 17 records totaling $1,492.16.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $389.86 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $191.69 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $143.01 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $143.00 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $139.43 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $124.10 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $79.55 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $65.16 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $30.00 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $30.00 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $30.00 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $28.98 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $27.74 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $23.95 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $19.00 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $16.99 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $9.70 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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141 | 31 | $127.65 | $65.99 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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70 | 70 | $324.49 | $166.85 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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54 | 54 | $216.91 | $112.43 |
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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50 | 24 | $95.18 | $49.49 |
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49505
Repair of groin hernia (5 years or older)
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40 | 40 | $1054.80 | $547.87 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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32 | 28 | $110.28 | $57.29 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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29 | 29 | $249.34 | $129.71 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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28 | 23 | $68.21 | $35.34 |
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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28 | 28 | $158.43 | $82.56 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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24 | 24 | $251.67 | $130.15 |
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11042
Removal of skin and tissue, 20.0 sq cm or less
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23 | 16 | $117.04 | $59.91 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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23 | 23 | $157.91 | $81.90 |
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47562
Removal of gallbladder using an endoscope
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22 | 22 | $1265.55 | $657.38 |
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29581
Application of vein wound compression bandages on lower leg, ankle, and foot
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21 | 11 | $60.67 | $31.53 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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21 | 20 | $177.14 | $91.24 |
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49591
Initial repair of sliding hernia of abdomen, less than 3 cm in length
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16 | 16 | $647.63 | $327.27 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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16 | 16 | $332.75 | $173.33 |
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99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
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13 | 13 | $140.00 | $73.38 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 105 | 624 | $260.61 | 105 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 14 | 124 | $127.32 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20150723007497
VA
4688897747
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Martha Jefferson Medical Group Llc
500 Martha Jefferson Dr, Charlottesville, VA 229114668
Phone: 4346548960
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Nephrology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.), Master of Science
Internal Medicine - Sleep Medicine
Doctor of Medicine (M.D.)
Urology
Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 500 MARTHA JEFFERSON DR FL 5, CHARLOTTESVILLE, VA 22911 (Tel: 4346545260)
NPI status registered as active in NPPES database
Registered at 500 MARTHA JEFFERSON DR, 5TH FLOOR, CHARLOTTESVILLE, VA 229114668 (Tel: 4346545260)
Registered at PO BOX 79777, BALTIMORE, MD 212790777 (Tel: 4346547794)
Recorded as NICHOLAS SPINELLI, MD
Surgery (license number reported to NPPES: VA 0101258220)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Charlottesville
- Anna Fashandi
- James Mehaffey
- Dr. Carlos Tache-Leon, MD
- Dr. Andrea Merrill, MD
- Dr. John Carl, MD
- Dr. Rudolph Rustin, MD
Mailing Address
Po Box 79777
Baltimore, MD 212790777
Phone: 4346547794