NPPES file of Aug 9, 2026

Nicholas Anthony Spinelli, MD

Surgery Physician · Charlottesville, VA

Nicholas Anthony Spinelli, MD is a surgery physician with a practice address in Charlottesville, Virginia, and NPI 1992976369, issued on Mar 13, 2008. Check the license (Virginia 0101258220, as entered in NPPES) on the Virginia Department of Health Professions; 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
1992976369
Name
Nicholas Anthony Spinelli
Credential
MD
Primary taxonomy
Surgery Physician 208600000X
License number
0101258220 VA
Self-reported in NPPES; status is on the state search
Practice location
500 Martha Jefferson Dr FL 5, Charlottesville, VA 22911
Phone
(434) 654-5260
Enumerated
Mar 13, 2008
Record last updated
Jul 3, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(434) 654-5261
Medicare enrollment
Enrolled (PECOS I20150723007497); accepts Medicare assignment
Medical or professional school
Tufts University School Of Medicine, 2005
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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Also registered at 500 Martha Jefferson Dr FL 5

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. David Calhoun, MDSleep Medicine (Internal Medicine) Physician1164468229
  2. Elizabeth Driscoll, FNPFamily Nurse Practitioner1699001016
  3. Elizabeth Foreman, MDSleep Medicine (Internal Medicine) Physician1336357078
  4. Taylor Geddes, PA-CPhysician Assistant1902632748
  5. Zachary Gregg, M.D.Colon & Rectal Surgery Physician1285836312
  6. Keri Hall, M.D.Infectious Disease Physician1245309871

Verify Nicholas Anthony Spinelli in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101258220
    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 Virginia license search

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7% fewer Medicare Part D claims than the average surgery physician in 2024

137 Medicare Part D claims for 116 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. 110 claims were for opioids.

  1. Nicholas Spinelli137
  2. Specialty average147

Most prescribed

  1. Oxycodone-Acetaminophen105 claims
  2. Amoxicillin-Clavulanate Potass14 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 MIPS final score for 2023 (Medicare payment program): 95.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. 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 score86.3
  2. Costnot scored (reweighted)
  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; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Martha Jefferson Medical Group LLCCharlottesville, VA

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

Nicholas Anthony Spinelli among 865 surgery physician records in Virginia

Nicholas Anthony Spinelli, MD is one of 865 surgery physician records with a practice address in Virginia. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 53% of them.

  • NPI issued2008 · 53% of these records are older, 41% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated2005 · median 2004 among the 483 with a school on file
  • Record last updated2018 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Surgery Physician providers in Virginia

There are 865 surgery physician records in Virginia.

The 8 surgery physician records with the nearest ZIP codes

  1. John Carl, MDCharlottesville, VA 229111437193323
  2. Sarah Gates, D.O.Charlottesville, VA 229111649684150
  3. Charles Hurt, MDCharlottesville, VA 229111740819911
  4. Katrina Jackson, LSA, CSFACharlottesville, VA 229111992428890
  5. John JonesCharlottesville, VA 229111467463869
  6. Andrea Merrill, MDCharlottesville, VA 229111780979443
  7. Lane Ritter, M.D,Charlottesville, VA 229111558524777
  8. Timothy Snow, DOCharlottesville, VA 229111730449810

Common questions

What is Nicholas Anthony Spinelli, MD's NPI number?

Nicholas Anthony Spinelli, MD's National Provider Identifier (NPI) is 1992976369, issued on Mar 13, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Nicholas Anthony Spinelli, MD located?

The NPPES record lists a practice address at 500 Martha Jefferson Dr FL 5, Charlottesville, VA, 22911. Phone: (434) 654-5260. Providers update this record themselves, so call before visiting.

How can I verify Nicholas Anthony Spinelli, MD's license?

NPPES lists Virginia license number 0101258220, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Nicholas Anthony Spinelli, MD prescribe under Medicare Part D?

In 2024, Nicholas Anthony Spinelli, MD had 137 Medicare Part D claims for 116 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.

What is Nicholas Anthony Spinelli, MD's MIPS final score?

The 2023 MIPS final score is 95.1 of 100. 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.