DR. ANN MARIE SPADAFORA (OD) – Optometrist, NPI 1952357147

DR. ANN MARIE SPADAFORA (OD) is a healthcare provider. based in Clarkston, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. AS003677 (MI). The NPI Number for DR. ANN MARIE SPADAFORA (OD) is 1952357147

Main info

Female
Sole Proprietor
33 Years Of Experience
Name
DR. ANN MARIE SPADAFORA (OD)
NPI
1952357147
Phone
(248) 709-5099
Address
8111 ROSEBUD LANE
Enumeration Date
26 May 2006
Last Update Date
2 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5862472121
Graduation Year
1993 (33 years ago)
PAC ID
0749463156
Group Practice PAC ID
7416288949
Professional Enrollment ID
I20110323000048
Address ID
MI483154405SH48873RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for DR. ANN MARIE SPADAFORA (OD)

  • 8111 ROSEBUD LANE

    CLARKSTON, MI 48348

    Phone: (248) 709-5099

    Type: Mailing

  • 6445 CITATION DR STE B

    CLARKSTON, MI 483462996

    Phone: (248) 922-1862

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: CooperVision Inc. ($38).

Total Amount

$84

General + Research + Ownership

Payments

4

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110323000048IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina6757$0
99214Established patient office or other outpatient visit, 30-39 minutes5647$0
92025Ct scan of cornea1313$0
View full utilization report →

Insurance plans in this area (ZIP 48348)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416288949View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YMI
O P T O M E T R YVA
O P T O M E T R YMI
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

What is the registry number for DR. ANN MARIE SPADAFORA (OD)?
The registry entry for DR. ANN MARIE SPADAFORA (OD) shows NPI 1952357147.
Should I treat DR. ANN MARIE SPADAFORA (OD) as an active provider?
Patients and plans typically see DR. ANN MARIE SPADAFORA (OD) as active in the national extract.
What does the directory say DR. ANN MARIE SPADAFORA (OD) does?
Insurance directories may phrase it differently, but here DR. ANN MARIE SPADAFORA (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ANN MARIE SPADAFORA (OD)?
DR. ANN MARIE SPADAFORA (OD) is associated with Clarkston, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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