HEATHER N SPIES MD
NPI 1023024213
Obstetrics & Gynecology in Sioux Falls, SD
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Heather Spies reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 clinicians in this Medicare group
Luverne, MN 56156
- Reassigned Medicare billing, Minnesota enrollment
- 279 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, SDPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Heather Spies's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Spies reassigns Medicare benefits to 3 organizations: Sanford Clinic (Sioux Falls, SD), Sanford Medical Center (Sioux Falls, SD) and Sanford Health Network (Luverne, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Spies's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Spies accept?
Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. 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 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.
# Heather N Spies, MD · NPI 1023024213
Obstetrics & Gynecology physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1023024213 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 5895 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 W 22ND ST STE 301, Sioux Falls, SD 57105-1503
- **Phone:** (605) 328-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sanford Clinic (NPI 1083645949, Sioux Falls, SD); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD); Sanford Health Network (NPI 1497703045, Luverne, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 2002
## Record status
- **NPPES last updated:** March 7, 2019
- **Other identifiers:** Other 5895 (SD)
---
Source: [NPI Profile](https://npiprofile.com/npi/1023024213) · Data from the CMS NPPES public registry.