NPPES file of Aug 9, 2026

Michael Spallone, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Hackensack, NJ

Michael Spallone, M.D. is a thoracic surgery (cardiothoracic vascular surgery) physician with a practice address in Hackensack, New Jersey, and NPI 1700270618, issued on Mar 28, 2015. Check the license (New Jersey 25MA10746800, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1700270618
Name
Michael Spallone
Credential
M.D.
Primary taxonomy
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
License number
25MA10746800 NJ
Self-reported in NPPES; status is on the state search
Practice location
20 Prospect Ave Ste 701, Hackensack, NJ 07601
Phone
(551) 996-5960
Enumerated
Mar 28, 2015
Record last updated
Jul 20, 2022
Fax
(551) 996-0684
Medicare enrollment
Enrolled (PECOS I20221104000325); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Michael Spallone in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA10746800
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

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83% fewer Medicare Part D claims than the average thoracic surgery (cardiothoracic vascular surgery) physician in 2024

17 Medicare Part D claims, against an average of 101 among the 2,587 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Michael Spallone17
  2. Specialty average101

Most prescribed

  1. Gabapentin11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 75.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score68.7
  2. Costout of 100 · 30%50.7
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $454.05

7 payments; by number, the most common kind was food and beverage; the largest payer was Galvanize Therapeutics, Inc. The 4,047 providers of this specialty with any payment received $7,828.84 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Michael Spallone$454.05
  2. Specialty average$7,828.84

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Hackensack Meridian Health Medical Group - Specialty Care PCHackensack, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michael Spallone among 156 thoracic surgery (cardiothoracic vascular surgery) physician records in New Jersey

Michael Spallone, M.D. is one of 156 thoracic surgery (cardiothoracic vascular surgery) physician records with a practice address in New Jersey. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 91% of them.

  • NPI issued2015 · 91% of these records are older, 8% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated2014 · median 1997 among the 94 with a school on file
  • Record last updated2022 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208G00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in New Jersey

There are 156 thoracic surgery (cardiothoracic vascular surgery) physician records in New Jersey.

The 8 thoracic surgery (cardiothoracic vascular surgery) physician records with the nearest ZIP codes

  1. Dhaval Chauhan, M.D.Hackensack, NJ 076011528340130
  2. Yuriy Dudiy, M.D.Hackensack, NJ 076011134416001
  3. Elie Elmann, MDHackensack, NJ 076011225138290
  4. Mohammad Ghodsi, MDHackensack, NJ 076011982645990
  5. James Hunter, MDHackensack, NJ 076011194766360
  6. Saleem Khan, MDHackensack, NJ 076011447291612
  7. Gary Kline, MDHackensack, NJ 076011497825830
  8. Leonard Lee, MDHackensack, NJ 076011457448532

Common questions

What is Michael Spallone, M.D.'s NPI number?

Michael Spallone, M.D.'s National Provider Identifier (NPI) is 1700270618, issued on Mar 28, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Michael Spallone, M.D. located?

The NPPES record lists a practice address at 20 Prospect Ave Ste 701, Hackensack, NJ, 07601. Phone: (551) 996-5960. Providers update this record themselves, so call before visiting.

How can I verify Michael Spallone, M.D.'s license?

NPPES lists New Jersey license number 25MA10746800, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Michael Spallone, M.D. prescribe under Medicare Part D?

In 2024, Michael Spallone, M.D. had 17 Medicare Part D claims; the average among thoracic surgery (cardiothoracic vascular surgery) physician prescribers was 101. Part D covers Medicare prescriptions only.

What is Michael Spallone, M.D.'s MIPS final score?

The 2023 MIPS final score is 75.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.