2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1457447757 MD
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HENRY SPINELLI, MD

Plastic and Reconstructive Surgery Physician in NEW YORK, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
117
Medicare Part D claims · 25 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: HENRY SPINELLI, MD is a Plastic and Reconstructive Surgery Physician ([object Object]) practicing in NEW YORK, New York with a Medicare Part D prescribing footprint of 117 claims across 25 beneficiaries — 11% brand-name prescribing .

What stands out: HENRY SPINELLI, MD filed 117 Medicare Part D claims in 2023 across NEW YORK, New York. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

HENRY SPINELLI, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

HENRY SPINELLI, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 10/05/2006

NPI 1457447757

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

117 36% vs specialty avg

2023 prescription claims

Specialty avg: 86

Specialty distribution in New York

How Plastic and Reconstructive Surgery Physician compares to other specialties among New York providers

New York providers

Plastic and Reconstructive Surgery Physician share within New York

1. Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic and Reconstructive Surgery Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Plastic and Reconstructive Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic and Reconstructive Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Plastic and Reconstructive Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic and Reconstructive Surgery Physician) — ABMS / AOA estimate

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).

HENRY SPINELLI, MD is a Plastic and Reconstructive Surgery Physician provider practicing in NEW YORK, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1457447757. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

HENRY SPINELLI, MD appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding MD credentials at 875 FIFTH AVENUE, NEW YORK, NY, 10021, with a listed phone of (212) 570-6235. NPI 1457447757 was issued on 10/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPINELLI 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 117 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $5K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 10.3%. 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.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

875 FIFTH AVENUE
NEW YORK, NY 10021

Provider Details

NPI 1457447757
Specialty Plastic and Reconstructive Surgery Physician
Credentials MD
Gender Male
NPI Issued 10/05/2006

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to HENRY SPINELLI, MD. To verify HENRY SPINELLI, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

HENRY SPINELLI, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 117 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.

117
Total Claims
$5K
Total Drug Cost
25
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
131
Total Day Supply
2,282
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$3K
Generic Drug Cost
$2K
Opioid Claims
12 (10.3% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
0.83

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Alprazolam
11
Cephalexin
11
Lorazepam
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Plastic and Reconstructive Surgery Physician Overview

How HENRY SPINELLI, MD fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

HENRY SPINELLI, MD's 117 claims are above the specialty average of 86.

Nearby Plastic and Reconstructive Surgery Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as SPINELLI.

Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HENRY SPINELLI, MD's specialty?
HENRY SPINELLI, MD specializes in Plastic and Reconstructive Surgery Physician and practices in NEW YORK, New York. Credentials: MD.
How much does HENRY SPINELLI, MD prescribe under Medicare Part D?
In 2023, HENRY SPINELLI, MD wrote 117 Medicare Part D claims totaling $5K in drug costs for 25 beneficiaries.
Where is HENRY SPINELLI, MD located?
HENRY SPINELLI, MD is located at 875 FIFTH AVENUE, NEW YORK, NY, 10021. Phone: (212) 570-6235.
What is HENRY SPINELLI, MD's NPI number?
HENRY SPINELLI, MD's National Provider Identifier (NPI) is 1457447757, issued on 10/05/2006.
Does HENRY SPINELLI, MD prescribe more brand-name or generic drugs?
HENRY SPINELLI, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $3K in brand drug costs.
Does HENRY SPINELLI, MD prescribe opioids?
Yes, HENRY SPINELLI, MD had 12 opioid claims in 2023 with an opioid prescribing rate of 10.3%.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does HENRY SPINELLI, MD prescribe most often?
Based on 2023 Medicare Part D data, HENRY SPINELLI, MD's most frequently prescribed drugs include Alprazolam, Cephalexin, Lorazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HENRY SPINELLI, MD accept Medicare?
HENRY SPINELLI, MD appears in CMS Medicare data with 117 Part D claims and 25 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HENRY SPINELLI, MD's credentials?
HENRY SPINELLI, MD's NPI is 1457447757 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

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