CAROLINE SPAGNOLA, MD
Pediatrics Physician in BELLFLOWER, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
CAROLINE SPAGNOLA, MD filed 698 Medicare Part D claims in 2023 as a Pediatrics Physician in BELLFLOWER, California, prescribing 53% generic.
- 698
- Part D claims, 2023
- 53%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.
CAROLINE SPAGNOLA, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
698 Top 31% higher than 69% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
CAROLINE SPAGNOLA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about CAROLINE SPAGNOLA, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in California
How Pediatrics Physician compares to other specialties among California providers
Pediatrics Physician share within California
Pediatrics Physician is one of the more visible NUCC categories in California
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Pediatrics Physician ABMS/AOA estimate
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Pediatrics Physician US NPIs
Specialty board-certified rate — Pediatrics Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
CAROLINE SPAGNOLA, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 9400 ROSECRANS AVE, BELLFLOWER, CA, 90706, with a listed phone of (562) 461-3000. NPI 1558419424 was issued on 01/08/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPAGNOLA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 698 prescription claims written by this provider, covering 145 Medicare beneficiaries and totaling roughly $273K in drug spend, split 47% brand-name and 53% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.
Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1558419424 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 01/08/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm CAROLINE SPAGNOLA, MD's current license status, disciplinary history, and board certifications with the Medical Board of California in California before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where CAROLINE SPAGNOLA, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context — California MBC 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to CAROLINE SPAGNOLA, MD. To verify CAROLINE SPAGNOLA, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
47% brand-name claims vs 53% generic, on 698 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 1,394
- Total Day Supply
- 40,110
- Brand vs Generic
- 47% brand / 53% generic
- Brand Drug Cost
- $240K
- Generic Drug Cost
- $33K
- Antibiotic Claims
- 21
Patient Demographics
- Average Patient Age
- 73.6 years
- Avg HCC Risk Score
- 1.14
- Gender Split
- 69% female / 31% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What CAROLINE SPAGNOLA, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
128 claims
- Wixela Inhub
Wixela Inhub
59 claims
- Spiriva Respimat
Spiriva Respimat
56 claims
- Montelukast Sodium 47
Montelukast Sodium
47 claims
- Prednisone 45
Prednisone
45 claims
- Fluticasone Propio… 43
Fluticasone Propionate
43 claims
- Symbicort 37
Symbicort
37 claims
- Azelastine Hcl 35
Azelastine Hcl
35 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 128 |
| Wixela Inhub Fluticasone Propion/Salmeterol | 59 |
| Spiriva Respimat Tiotropium Bromide | 56 |
| Montelukast Sodium | 47 |
| Prednisone | 45 |
| Fluticasone Propionate | 43 |
| Symbicort Budesonide/Formoterol Fumarate | 37 |
| Azelastine Hcl | 35 |
| Alvesco Ciclesonide | 31 |
| Olopatadine Hcl | 28 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How CAROLINE SPAGNOLA, MD fits within the Pediatrics Physician landscape nationally.
CAROLINE SPAGNOLA, MD's 698 claims are below the specialty average of 762.
Nearby Pediatrics Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as SPAGNOLA.
Compare Pediatrics Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology