MICHAEL P. SPELLICY (O.D.) – Optometrist, NPI 1477548063

MICHAEL P. SPELLICY (O.D.) is a healthcare provider. based in New hartford, New York. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. I3-0011433 (DE). The NPI Number for MICHAEL P. SPELLICY (O.D.) is 1477548063

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL P. SPELLICY (O.D.)
NPI
1477548063
Phone
(315) 798-1702
Address
1729 BURRSTONE RD
Enumeration Date
20 September 2005
Last Update Date
19 January 2022

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
3023462020
Graduation Year
1979 (47 years ago)
PAC ID
2860608007
Group Practice PAC ID
1052612009
Professional Enrollment ID
I20211115001886
Address ID
DE199043478DO1404XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,977 OPTOMETRY in NY

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Provider Addresses for MICHAEL P. SPELLICY (O.D.)

  • 1729, Burrstone Road, Town of New Hartford, Oneida County, New York, 13413, United States

    NEW HARTFORD, NY 134131001

    Phone: (315) 798-1702

    Fax: (315) 798-1726

    Type: Mailing

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 1404 FORREST AVE STE 1

    DOVER, DE 199043478

    Phone: (302) 346-2020

    Fax: (302) 346-4946

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: CooperVision Inc. ($98).

Total Amount

$157

General + Research + Ownership

Payments

6

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

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: 2021-11-15

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
I20211115001886IOptometryDETBD

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 retina4444$0
99213Established patient office or other outpatient visit, 20-29 minutes3535$0
99214Established patient office or other outpatient visit, 30-39 minutes3131$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
99212Established patient office or other outpatient visit, 10-19 minutes2118$0
View full utilization report →

Insurance plans in this area (ZIP 13413)

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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: 1052612009View full group profile
NameSpecialtyState
-DE
O P T O M E T R YDE
O P T O M E T R YMD
O P T O M E T R YMD
O P T O M E T R YVA
O P T O M E T R YDE
O P T O M E T R YOR
O P T O M E T R YVA
-MD
O P T O M E T R YDE

Reviews

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Frequently asked questions

What is the standard ID for MICHAEL P. SPELLICY (O.D.) in the U.S.?
In the U.S., MICHAEL P. SPELLICY (O.D.) is identified by NPI 1477548063.
Should I treat MICHAEL P. SPELLICY (O.D.) as an active provider?
Patients and plans typically see MICHAEL P. SPELLICY (O.D.) as active in the national extract.
How should patients interpret MICHAEL P. SPELLICY (O.D.)'s specialty?
The extract shows Optometrist for MICHAEL P. SPELLICY (O.D.). Clinical services aligned with this taxonomy classification.
Is MICHAEL P. SPELLICY (O.D.) tied to New Hartford, New York?
If you are local to New Hartford, New York, MICHAEL P. SPELLICY (O.D.) may be relevant to your search.
Can I export MICHAEL P. SPELLICY (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.