1. Home
  2. Directory
  3. New Mexico
  4. Shiprock
  5. Podiatrist
  6. NPI Profile

DR. MATTHEW S SPIVA DPM
NPI 1003179193
Podiatrist in Shiprock, NM

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
US HWY 491 NORTH, SHIPROCK, NM 87420(505) 368-6001 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2018, Oct 4, 2018, Jan 20, 2016 (3 updates tracked since 2016).

About Dr. Matthew S Spiva Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW S SPIVA DPM (NPI 1003179193) is an individual podiatrist in Shiprock, New Mexico, licensed in New Mexico (POD387) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of California School Of Podiatric Medicine (2012).

NPPES Registry Identity

NPI1003179193
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. MATTHEW S SPIVACredential: DPM
Location AddressUS HWY 491 NORTHShiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6001
Phone(505) 368-6001
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2012
Enumeration DateJune 22, 2012
Last NPPES UpdateOctober 10, 20183 updates tracked since enumeration
✔ NPI 1003179193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in NM · POD387✔ Licensed in UT · 8718615-0501
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 8718615-0501 (UT), POD387 (NM)
US HWY 491 NORTH, Shiprock, NM 87420
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew S Spiva Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779706346
PECOS Enrollment IDI20160406000453
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
174 services41 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
53 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Cibola General Hospital

Critical Access Hospitals · Grants, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321308
Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County
Emergency services Birthing friendly

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321313
Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZELDA GAIL GARCIA LCSW
Social Worker (Clinical)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
CYNTHIA L. DUNDER RN
Registered Nurse
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
JULIE ANN WALKER PHARMD, BCPS
Pharmacist
US HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
SHIPROCK, NM 87420
San Juan County (505) 386-7266
MS. DONIELLE DAWN BIGMAN FNP-BC
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
AIMEE E MCMULLIN MD
Family Medicine
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
FLOYD P BOND MD
Obstetrics & Gynecology
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
SANDRA BEIRNE MD
Pediatrics
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-7060
ANGELIQUE PFLUEGER MD
Radiology (Diagnostic Radiology)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Spiva's NPI number?

The NPI number for Matthew Spiva is 1003179193. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Matthew Spiva located?

Matthew Spiva practices at Us Hwy 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is Matthew Spiva's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Matthew Spiva enrolled in Medicare?

Yes. Matthew Spiva is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Spiva accept?

Health plans from Blue Cross Blue Shield of Arizona list Matthew Spiva as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Spiva affiliated with any hospitals?

According to CMS data, Matthew Spiva is affiliated with Gallup Indian Medical Center, Cibola General Hospital and Rehoboth Mckinley Christian Health Care Services.

When was this NPI record last updated?

The NPPES record for Matthew Spiva was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.