Active NPI 1992976369 Individual Practitioner Male Practitioner

Dr. Nicholas Anthony Spinelli , MD

Surgery • Charlottesville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Spinelli, MD is a certified Surgery practicing in Charlottesville, VA. With approximately 21 years of clinical experience since graduating from Tufts University School Of Medicine in 2005, Dr. Spinelli delivers high-quality medical care to the local community at 500 MARTHA JEFFERSON DR FL 5.

Dr. Spinelli is affiliated with Martha Jefferson Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 Martha Jefferson Dr Fl 5

Charlottesville, VA 22911

Telephone 4346545260

Fax 4346545261

Associated Practice Facility / Clinic

🏢 Rmh Medical Group Llc Facility NPI 1376706952

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Charlottesville, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +1.4 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

38 Specialists

Practicing in Charlottesville, VA (909 Statewide)

Telehealth Adoption Rate

18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spinelli (21 Years) 21 Yrs

Charlottesville Specialty Average (19.6 Years) 19.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	141	31	$127.65	$65.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$324.49	$166.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$216.91	$112.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	24	$95.18	$49.49
49505 Repair of groin hernia (5 years or older)	40	40	$1054.80	$547.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$110.28	$57.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$249.34	$129.71
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$158.43	$82.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$68.21	$35.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$251.67	$130.15
11042 Removal of skin and tissue, 20.0 sq cm or less	23	16	$117.04	$59.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$157.91	$81.90
47562 Removal of gallbladder using an endoscope	22	22	$1265.55	$657.38
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	21	11	$60.67	$31.53
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$177.14	$91.24
49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length	16	16	$647.63	$327.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$332.75	$173.33
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$140.00	$73.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	47	$121.94	$65.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	78	38	$92.46	$49.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$331.00	$165.66
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$166.42	$89.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$220.96	$109.70
49505 Repair of groin hernia (5 years or older)	36	36	$1064.47	$527.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	28	$67.94	$35.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$239.32	$124.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$265.07	$125.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$160.67	$81.95
47562 Removal of gallbladder using an endoscope	23	23	$1323.17	$653.72
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$145.58	$72.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$152.26	$78.56
97597 Removal of tissue from wound, 20.0 sq cm or less	18	11	$71.33	$35.23
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$173.65	$82.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$102.73	$56.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$366.86	$172.25
11042 Removal of skin and tissue, 20.0 sq cm or less	11	11	$119.45	$59.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$218.00	$112.57
99213 Established patient office or other outpatient visit, typically 15 minutes	78	36	$103.00	$67.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	29	$63.00	$36.36
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$150.00	$91.71
49505 Repair of groin hernia (5 years or older)	35	35	$1084.27	$535.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	19	$80.00	$38.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	19	$147.00	$71.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$276.00	$135.06
47562 Removal of gallbladder using an endoscope	19	19	$1353.00	$646.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$91.00	$57.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$154.00	$83.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$331.00	$167.69
99213 Established patient office or other outpatient visit, typically 15 minutes	57	28	$103.00	$67.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	30	$80.00	$38.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	26	$63.00	$36.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	39	$91.00	$56.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	21	$147.00	$71.42
47562 Removal of gallbladder using an endoscope	30	30	$1353.00	$671.58
49505 Repair of groin hernia (5 years or older)	28	28	$1088.09	$541.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$276.00	$135.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$154.00	$83.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$219.00	$130.40
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$150.00	$91.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$408.00	$199.00
11042 Removal of skin and tissue, 20.0 sq cm or less	14	11	$126.00	$60.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$331.00	$166.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	24	$147.00	$64.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	20	$80.00	$37.37
47562 Removal of gallbladder using an endoscope	34	34	$1353.00	$679.64
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$150.00	$70.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$91.00	$46.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$276.00	$139.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$219.00	$110.31
49505 Repair of groin hernia (5 years or older)	18	18	$1069.00	$520.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$408.00	$206.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$154.00	$77.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	41	$86.00	$38.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$327.00	$162.85
99213 Established patient office or other outpatient visit, typically 15 minutes	56	41	$145.00	$73.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	37	$273.00	$135.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	17	$144.00	$69.44
47562 Removal of gallbladder using an endoscope	23	23	$1393.00	$665.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$213.00	$107.59
49505 Repair of groin hernia (5 years or older)	13	13	$1049.00	$526.35
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$202.00	$93.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	110	38	$86.00	$38.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$327.00	$159.87
99213 Established patient office or other outpatient visit, typically 15 minutes	59	45	$145.00	$71.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$273.00	$135.99
47562 Removal of gallbladder using an endoscope	36	36	$1393.00	$622.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$213.00	$102.39
49505 Repair of groin hernia (5 years or older)	20	20	$1049.00	$523.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$403.00	$201.60
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$149.00	$74.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$215.00	$107.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$144.00	$72.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	37	$86.00	$38.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$327.00	$161.67
99213 Established patient office or other outpatient visit, typically 15 minutes	43	33	$145.00	$71.91
47562 Removal of gallbladder using an endoscope	31	31	$1393.00	$621.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$273.00	$130.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$87.00	$42.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$213.00	$102.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$403.00	$200.15
49505 Repair of groin hernia (5 years or older)	13	13	$1049.00	$519.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$215.00	$106.42
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$149.00	$73.66

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101258220

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Martha Jefferson Medical Group Llc

500 Martha Jefferson Dr, Charlottesville, VA 229114668

Phone: 4346548960

Practice Associates & Co-Workers

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

31 Associated Practitioners

Dr. Jeffrey Mai , MD, PhD

Neurological Surgery

NPI 1013025857

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Jesse Wallace , AG-ACNP

Nurse Practitioner - Acute Care

NPI 1013697267

Adult-Gerontology Acute Care Nurse Practitioner

Scott Campbell

Urology

NPI 1033575386

Dr. James Freeman , MD

Internal Medicine

NPI 1053529669

Doctor of Medicine (M.D.)

Dr. Christopher Willms , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1093786329

Doctor of Medicine (M.D.)

Dr. Samuel Oliver , MD

Internal Medicine - Critical Care Medicine

NPI 1134573215

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location July 03, 2018

Registered at 500 MARTHA JEFFERSON DR FL 5, CHARLOTTESVILLE, VA 22911 (Tel: 4346545260)

✅

NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2016

Registered at 500 MARTHA JEFFERSON DR, 5TH FLOOR, CHARLOTTESVILLE, VA 229114668 (Tel: 4346545260)

📍

Updated Business Mailing Address November 30, 2016

Registered at PO BOX 79777, BALTIMORE, MD 212790777 (Tel: 4346547794)

👤

Provider Name / Credentials Updated November 30, 2016

Recorded as NICHOLAS SPINELLI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Surgery (License #0101258220 in VA)

🟢

Initial NPI Registration & Enumeration March 13, 2008

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: 1992976369

Entity Type:

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

Enumeration Date: March 13, 2008

Last Update: July 03, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 79777

Baltimore, MD 212790777

Phone: 4346547794

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.