Active NPI 1336348887 Individual Practitioner Male Practitioner

Dr. Michael Paul Spada , MD

Internal Medicine • Middletown, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Spada, MD is a certified Internal Medicine practicing in Middletown, CT. With approximately 19 years of clinical experience since graduating from University Of Connecticut School Of Medicine in 2007, Dr. Spada delivers high-quality medical care to the local community at 520 SAYBROOK RD.

Dr. Spada is affiliated with Mhs Primary Care, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 Saybrook Rd
Suite N100

Middletown, CT 064574700

Telephone 8603441801

Fax 8603588657

Associated Practice Facility / Clinic

🏢 Middlesex Urology, Pc. Facility NPI 1790873453

Medicare Profile & Education

Medical School

University Of Connecticut School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Middletown, CT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -10.9 yrs vs City Avg

City Avg: 29.9 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

30 Specialists

Practicing in Middletown, CT (2753 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spada (19 Years) 19 Yrs

Middletown Specialty Average (29.9 Years) 29.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	133	$215.58	$136.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	138	138	$194.00	$141.13
93000 Routine ekg using at least 12 leads including interpretation and report	68	67	$95.00	$15.03
G0008 Administration of influenza virus vaccine	56	56	$46.00	$33.90
90662 Influenza vaccine split virus, preservative free	55	55	$208.09	$81.46
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$166.26	$98.29
91322 Sarscov2 vac 50 mcg/0.5ml im	23	22	$365.00	$156.41
90480 Admn sarscov2 vacc 1 dose	23	22	$100.00	$45.20
36415 Insertion of needle into vein for collection of blood sample	17	16	$22.00	$8.65
82962 Blood glucose (sugar) test performed by hand-held instrument	16	14	$22.00	$2.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	143	$219.60	$135.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	147	147	$194.00	$136.40
G0008 Administration of influenza virus vaccine	68	65	$46.00	$32.50
99213 Established patient office or other outpatient visit, typically 15 minutes	66	54	$170.00	$96.27
90662 Influenza vaccine split virus, preservative free	64	62	$183.72	$71.82
93000 Routine ekg using at least 12 leads including interpretation and report	59	57	$95.00	$15.29
90480 Admn sarscov2 vacc 1 dose	24	24	$100.00	$43.34
91322 Sarscov2 vac 50 mcg/0.5ml im	24	24	$365.00	$143.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	16	$307.00	$190.00
36415 Insertion of needle into vein for collection of blood sample	16	14	$22.00	$8.40
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	11	$126.00	$55.91
0124A Fee covid-19 vac 13 res	14	14	$100.00	$43.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	139	$220.00	$136.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	148	148	$194.00	$142.47
93000 Routine ekg using at least 12 leads including interpretation and report	81	77	$95.00	$15.23
99213 Established patient office or other outpatient visit, typically 15 minutes	77	68	$170.00	$97.19
G0008 Administration of influenza virus vaccine	57	55	$46.00	$31.44
90662 Influenza vaccine split virus, preservative free	54	52	$174.33	$68.36
0124A Fee covid-19 vac 13 res	47	47	$100.00	$41.38
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	39	39	$100.00	$42.68
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	19	$126.00	$57.77
36415 Insertion of needle into vein for collection of blood sample	25	19	$22.00	$2.97
83036 Hemoglobin A1C level	24	20	$49.00	$9.59
82962 Blood glucose (sugar) test performed by hand-held instrument	22	18	$22.00	$3.24
81003 Automated urinalysis test	13	13	$16.00	$2.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$307.00	$195.77
G0009 Administration of pneumococcal vaccine	11	11	$46.00	$32.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	262	168	$220.00	$138.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$194.00	$142.53
93000 Routine ekg using at least 12 leads including interpretation and report	79	74	$95.00	$16.22
0004A Fee covid-19 vac 1 res	79	79	$100.00	$43.50
G0008 Administration of influenza virus vaccine	57	57	$46.00	$18.53
90662 Influenza vaccine split virus, preservative free	52	52	$163.00	$65.26
99213 Established patient office or other outpatient visit, typically 15 minutes	39	33	$170.00	$99.60
36415 Insertion of needle into vein for collection of blood sample	31	28	$22.00	$3.00
83036 Hemoglobin A1C level	26	22	$49.00	$9.71
82962 Blood glucose (sugar) test performed by hand-held instrument	26	21	$22.00	$3.28
G0009 Administration of pneumococcal vaccine	21	21	$46.00	$18.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	14	$126.00	$57.93
0003A Adm sarscov2 30mcg/0.3ml 3rd	18	18	$100.00	$43.50
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$145.00	$125.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	144	$220.00	$118.93
99213 Established patient office or other outpatient visit, typically 15 minutes	81	69	$170.00	$81.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$194.00	$125.74
G0008 Administration of influenza virus vaccine	62	61	$46.00	$18.31
90662 Influenza vaccine split virus, preservative free	57	56	$73.68	$59.70
93000 Routine ekg using at least 12 leads including interpretation and report	48	46	$95.00	$18.42
36415 Insertion of needle into vein for collection of blood sample	48	42	$22.00	$2.99
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	26	$126.00	$58.53
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	14	$103.00	$45.06
83036 Hemoglobin A1C level	27	22	$49.00	$9.69
82962 Blood glucose (sugar) test performed by hand-held instrument	25	19	$22.00	$3.27
81003 Automated urinalysis test	15	14	$16.00	$2.23
G0009 Administration of pneumococcal vaccine	14	14	$46.00	$18.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$145.00	$118.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	198	$220.00	$117.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	117	117	$194.00	$126.45
36415 Insertion of needle into vein for collection of blood sample	99	85	$22.00	$2.89
99213 Established patient office or other outpatient visit, typically 15 minutes	95	67	$170.00	$80.56
93000 Routine ekg using at least 12 leads including interpretation and report	89	87	$95.00	$18.73
G0008 Administration of influenza virus vaccine	71	70	$46.00	$17.96
90662 Influenza vaccine split virus, preservative free	64	63	$74.00	$54.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	49	34	$126.00	$57.95
G0009 Administration of pneumococcal vaccine	39	39	$46.00	$17.96
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	12	$103.00	$45.01
83036 Hemoglobin A1C level	34	28	$49.00	$10.57
82962 Blood glucose (sugar) test performed by hand-held instrument	32	24	$22.00	$3.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$145.00	$111.40
81003 Automated urinalysis test	18	16	$16.00	$2.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$355.00	$178.21
90670 Pneumococcal vaccine for injection into muscle	15	15	$278.00	$209.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	302	183	$208.81	$114.79
99213 Established patient office or other outpatient visit, typically 15 minutes	182	119	$170.70	$77.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	117	117	$191.44	$125.55
36415 Insertion of needle into vein for collection of blood sample	108	77	$22.00	$2.91
G0008 Administration of influenza virus vaccine	101	100	$46.00	$22.26
90662 Influenza vaccine split virus, preservative free	92	92	$72.52	$52.02
93000 Routine ekg using at least 12 leads including interpretation and report	71	66	$95.00	$18.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$336.41	$174.24
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	47	22	$103.00	$45.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	41	$124.45	$57.99
83036 Hemoglobin A1C level	36	29	$37.50	$11.75
G0009 Administration of pneumococcal vaccine	36	36	$46.00	$22.26
82962 Blood glucose (sugar) test performed by hand-held instrument	34	28	$22.00	$3.21
81003 Automated urinalysis test	31	27	$15.42	$2.71
90670 Pneumococcal vaccine for injection into muscle	23	23	$278.00	$198.35
99496 Transitional care management services for problem of high complexity	21	18	$491.00	$249.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$145.00	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	433	254	$189.00	$114.58
99213 Established patient office or other outpatient visit, typically 15 minutes	203	140	$156.87	$77.99
G0008 Administration of influenza virus vaccine	102	101	$46.00	$27.77
93000 Routine ekg using at least 12 leads including interpretation and report	89	85	$95.00	$18.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$189.00	$124.34
90662 Influenza vaccine split virus, preservative free	82	81	$70.00	$47.82
36415 Insertion of needle into vein for collection of blood sample	69	58	$22.00	$2.94
G0009 Administration of pneumococcal vaccine	49	49	$46.00	$27.77
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	39	$121.00	$57.98
83036 Hemoglobin A1C level	40	35	$30.00	$12.72
90670 Pneumococcal vaccine for injection into muscle	35	35	$278.00	$186.20
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	34	21	$103.00	$44.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$278.00	$176.13
81003 Automated urinalysis test	28	26	$15.00	$3.02
82962 Blood glucose (sugar) test performed by hand-held instrument	27	22	$22.00	$3.15
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$330.00	$182.78
99496 Transitional care management services for problem of high complexity	24	22	$491.00	$237.59
99495 Transitional care management services for problem of at least moderate complexity	17	17	$352.00	$175.43
69210 Removal of impacted ear wax	16	16	$169.19	$53.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$145.00	$96.20

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 048457

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

008023955 (CT)

Hospital & Practice Group Affiliations

Mhs Primary Care, Inc.

520 Saybrook Rd, Middletown, CT 064574700

Mhs Primary Care, Inc.

270 Main St, Portland, CT 064801836

Phone: 8603585040

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Larry Levine , MD

Family Medicine

NPI 1144257338

Doctor of Medicine (M.D.)

Millicent Malcolm , APRN

Nurse Practitioner

NPI 1255418414

Advanced Practice Registered Nurse

Dr. Marina Ionita , MD

Internal Medicine

NPI 1386639268

Doctor of Medicine (M.D.)

Alexandra Schain , APRN

Nurse Practitioner - Adult Health

NPI 1578973905

Advanced Practice Registered Nurse

Dr. Kalpana Reddy , MD

Family Medicine

NPI 1609430354

Doctor of Medicine (M.D.)

Elizabeth Stankiewicz , APRN

Nurse Practitioner - Family

NPI 1700959053

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active April 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 11, 2017

Registered at 520 SAYBROOK RD, SUITE N100, MIDDLETOWN, CT 064574700 (Tel: 8603441801)

📍

Updated Business Mailing Address April 11, 2017

Registered at 28 CRESCENT ST, MIDDLETOWN, CT 064573654 (Tel: 8603584820)

👤

Provider Name / Credentials Updated April 11, 2017

Recorded as MICHAEL SPADA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Internal Medicine (License #048457 in CT)

✅

NPI Profile Active June 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2010

Registered at 1025 SILAS DEANE HWY, WETHERSFIELD, CT 061094229 (Tel: 8606962400)

📍

Updated Business Mailing Address June 28, 2010

Registered at 1025 SILAS DEANE HWY, WETHERSFIELD, CT 061094229 (Tel: 8606962400)

👤

Provider Name / Credentials Updated June 28, 2010

Recorded as MICHAEL SPADA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2010

Internal Medicine (License #048457 in CT)

🟢

Initial NPI Registration & Enumeration July 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336348887

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 15, 2007

Last Update: April 11, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

28 Crescent St

Middletown, CT 064573654

Phone: 8603584820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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