HEATHER N SPIES MD
NPI 1023024213
Obstetrics & Gynecology in Sioux Falls, SD

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1500 W 22ND ST STE 301, SIOUX FALLS, SD 57105(605) 328-7700 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heather N Spies Md NPPES

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

HEATHER N SPIES MD (NPI 1023024213) is an individual obstetrics & gynecology provider in Sioux Falls, South Dakota, licensed in South Dakota (5895) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1023024213
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameHEATHER N SPIESCredential: MD
Location Address1500 W 22ND ST STE 301Sioux Falls, SD 57105-1503
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2002
Enumeration DateJuly 31, 2006
Last NPPES UpdateMarch 7, 2019
NPI 1023024213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in SD · 5895
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1500 W 22ND ST STE 301, Sioux Falls, SD 57105

Secondary Practice Location 1

Location 1901 4th St NWWatertown, SD 57201-1558 · Phone (605) 886-8471 · Fax (605) 886-9317

Other Identifiers 1

Other5895SD · License

Accepted 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

Heather N Spies Md 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 ID9537163126
PECOS Enrollment IDI20060913000453
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.

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

Physician Assistant
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Advanced Practice Midwife
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Nurse Practitioner
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Midwife
1500 W 22ND ST STE 301, SANFORD HEALTH MATERNAL FETAL MEDICINE CLINIC
SIOUX FALLS, SD 57105
Obstetrics & Gynecology
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Physician Assistant
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Obstetrics & Gynecology
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Physician Assistant
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105

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 Heather Spies's NPI number?

The NPI number for Heather Spies is 1023024213. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Heather Spies located?

Heather Spies practices at 1500 W 22nd St Ste 301, Sioux Falls, SD 57105. The listed phone number is (605) 328-7700.

What is Heather Spies's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Heather Spies enrolled in Medicare?

Yes. Heather Spies 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 Heather Spies accept?

Health plans from Sanford Health Plan and Security Health Plan list Heather Spies 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 Heather Spies affiliated with any hospitals?

According to CMS data, Heather Spies is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Spies was last updated on March 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.