MARK ALAN SPIVEY MD
NPI 1043268204
Radiology - Diagnostic Radiology in Plano, TX
About Mark Alan Spivey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK ALAN SPIVEY MD (NPI 1043268204) is an individual diagnostic radiology provider in Plano, Texas, licensed in Texas (E6632) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Choctaw Memorial Hospital, and is a graduate of University Of Texas Medical School At Houston (1976).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Mark Alan Spivey 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
8Medicare enrollment records show Mark Spivey reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plano, TX 75075
- Reassigned Medicare billing, Texas enrollment
- 213 clinicians in this Medicare group
Plano, TX 75093
- Reassigned Medicare billing, Texas enrollment
- 209 clinicians in this Medicare group
Plano, TX 75025
- Reassigned Medicare billing, Texas enrollment
- 206 clinicians in this Medicare group
Carrollton, TX 75010
- Reassigned Medicare billing, Texas enrollment
- 201 clinicians in this Medicare group
Dallas, TX 75243
- Reassigned Medicare billing, Texas enrollment
- 216 clinicians in this Medicare group
Frisco, TX 75034
- Reassigned Medicare billing, Texas enrollment
- 223 clinicians in this Medicare group
Allen, TX 75013
- Reassigned Medicare billing, Texas enrollment
- 229 clinicians in this Medicare group
Grapevine, TX 76051
- Reassigned Medicare billing, Texas enrollment
- 194 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.
Areas of Expertise CMS Part B claims 34
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Choctaw Memorial Hospital
Acute Care Hospitals · Hugo, OKParis Regional Medical Center
Acute Care Hospitals · Paris, TXMedical Center Of Mckinney
Acute Care Hospitals · Mckinney, TXMedical City Denton
Acute Care Hospitals · Denton, TXMedical City Plano
Acute Care Hospitals · Plano, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75075 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.
Reported Quality Measures
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.
PLANO, TX 75075
PLANO, TX 75075
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 Mark Spivey's NPI number?
The NPI number for Mark Spivey is 1043268204. It was assigned to this individual provider in the NPPES registry on May 4, 2006.
Where is Mark Spivey located?
Mark Spivey practices at 3901 W 15th St, Plano, TX 75075. The listed phone number is (972) 596-6800.
What is Mark Spivey's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Mark Spivey enrolled in Medicare?
Yes. Mark Spivey 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 Mark Spivey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Spivey reassigns Medicare benefits to 8 organizations: North Star Diagnostic Imaging, LLC (Plano, TX), Texas Radiology Associates LLP (Plano, TX), North Star Mcd, LLC (Plano, TX), North Star Cn, LP (Carrollton, TX), North Star Fp, LP (Dallas, TX) and 3 more organizations, listed in the Medicare section above. 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 Mark Spivey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Spivey accept?
Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Mark Spivey 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 Mark Spivey affiliated with any hospitals?
According to CMS data, Mark Spivey is affiliated with Choctaw Memorial Hospital, Paris Regional Medical Center, Medical Center Of Mckinney, Medical City Denton and Medical City Plano.
When was this NPI record last updated?
The NPPES record for Mark Spivey was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.