Monica Spellman, PA
NPI 1568493955ActiveIndividual· Physician Assistant· Fredericksburg, VA
Physician Assistant (PA) with Mary Washington Healthcare Providers LLC, practicing in Fredericksburg, Virginia. Their prescriptions cost Medicare Part D more than their services did: $453,074 for 764 claims, against $61,241 paid for services in 2024. Salix Pharmaceuticals, A Division of Bausch Health US, LLC was the largest of 20 companies reporting payments in 2025, $2,650 in all, mostly food and beverage. Lists Mary Washington Hospital as a hospital affiliation.
Overview
| NPI | 1568493955 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 5, 2006 |
| Last updated in NPPES | Nov 7, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | MT1670151 | VA |
| Physician Assistant | 363A00000X | OA000294L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 726 |
|---|---|
| Services billed | 888 across 11 procedure codes |
| Paid by Medicare | $61,241 |
Part D prescriptions in 2024
| Prescriptions (claims) | 764 · 1,468 30-day fills |
|---|---|
| Patients | 292 |
| Total drug cost | $453,074 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mary Washington Healthcare Providers LLCMc Lean, VA · 262 clinicians
Hospital affiliation
- Mary Washington HospitalFredericksburg, VA
Industry payments (Open Payments)
- 2025$2,650 · 127 payments from 20 companies
- 2024$2,655 · 133 payments from 25 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $332.10 | 14 |
| Abbvie Inc. | $305.07 | 17 |
| Janssen Biotech, Inc. | $258.07 | 15 |
| Madrigal Pharmaceuticals | $221.15 | 9 |
| Takeda Pharmaceuticals U.S.A., Inc. | $213.19 | 11 |
What the 2025 payments were for
- Food and Beverage$2,650 · 127 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 115 physician assistants in Fredericksburg · All physician assistants in Virginia