Dr. Nicholas Spinelli, MD
500 Martha Jefferson DR Fl 5, Charlottesville, VA 22911 • +1-690-555-7590
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Charlottesville Percentiles
NPI #1992976369 • CBSA Regional • General Surgery
Statistical peer benchmarking across VA General Surgery providers positions Dr. Nicholas Spinelli, MD in Charlottesville at -0.34σ (50th city percentile / 59.3th state percentile, 309 Medicare beneficiaries), with clinical focus spanning 70 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Spinelli (averaging 3.0 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (415 encounters), paired with 99213 (240x).
For out-of-network patients contacting +1-690-555-7590, Dr. Spinelli's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.81/5 composite reality score over 4 submissions).
Patients evaluating Dr. Nicholas Spinelli in ZIP 22911 note 15 years of post-doctoral tenure (null, 2011) alongside 3.0 annual CMS procedures per patient.
Compared against Charlottesville, VA General Surgery peers
923 annual services across 309 beneficiaries
Standard deviations from VA General Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 415 | 50th | $222 – $305 |
| 99213 | Established Preventive & Chronic Care Visit | 240 | 52th | $170 – $233 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 120 | 53th | $81 – $111 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 92 | 46th | $261 – $358 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 55 | 53th | $309 – $424 |
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Dr. Nicholas Spinelli, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spinelli National Provider Identifier | NPI #1992976369 (MD) | CMS NPPES Registry (22911) |
| Dr. Spinelli Charlottesville CMS Volume Rank | 50.00th Pct (923 CMS svcs; Z -0.335σ) | CMS Medicare Part B (VA General Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Charlottesville, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.42/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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