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DR. MICHAEL DAVID SPIRITOS M.D.
NPI 1093744880
Internal Medicine - Hematology & Oncology in Raleigh, NC

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
3404 WAKE FOREST RD, SUITE 202, RALEIGH, NC 27609(919) 954-3050(919) 954-3053 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael David Spiritos M.d. NPPES

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

DR. MICHAEL DAVID SPIRITOS M.D. (NPI 1093744880) is an individual hematology & oncology provider in Raleigh, North Carolina, licensed in Pennsylvania (MD038513E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Js Weill Medical College, Cornell University (1983).

NPPES Registry Identity

NPI1093744880
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MICHAEL DAVID SPIRITOSCredential: M.D.
Location Address3404 WAKE FOREST RD, SUITE 202Raleigh, NC 27609-7340
Mailing Address4117 N Roxboro StDurham, NC 27704-2121 · (919) 684-8111
Phone(919) 954-3050
Fax(919) 954-3053
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1983
Enumeration DateJuly 2, 2006
Last NPPES UpdateJanuary 29, 2008
✔ NPI 1093744880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PA · MD038513E
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3404 WAKE FOREST RD, Raleigh, NC 27609
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN2074711NC
Medicare UPINB40816PA
Medicare ID-Type Unspecified182703N69PA
Medicaid01120620PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Dr. Michael David Spiritos M.d. 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 ID5395834782
PECOS Enrollment IDI20071207000871
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Spiritos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke Health Integrated Practice, Inc
0.1 mi
Gastroenterology
3480 WAKE FOREST RD STE 500
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1780374884 (919) 862-5075
Outerbanks Professional Services LLC
165 mi
Family Medicine
604 AMANDA ST
Manteo, NC 27954
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Outer Banks Professional Services, LLC
  • 346 clinicians in this Medicare group
NPI 1457686891 (252) 473-3478

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 6

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 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.
218 services146 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.
167 services102 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.
109 services87 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.
81 services70 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341324
Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County
Emergency services Birthing friendly

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims826 services$0.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CASEY JOHNSON MS OTRL
Occupational Therapist (Hand)
3404 WAKE FOREST RD, SUITE 303
RALEIGH, NC 27609
Wake County (919) 872-3171
WINDSOR AUSTIN HOLT MD
Obstetrics & Gynecology
3404 WAKE FOREST RD, SUITE 100
RALEIGH, NC 27609
Wake County (919) 876-8225
MELISSA JO PETERSON NP-BC
Nurse Practitioner (Family)
3404 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 862-5400
MRS. MEGAN KATHLEEN BLACK MSN, APRN, AGNP-C
Nurse Practitioner
3404 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 862-5402
SOUTHEASTERN ORTHOPEDICS SPORTS MEDICINE & SHOULDER CENTER PA
Clinic/Center (Multi-Specialty)
3404 WAKE FOREST RD, STE 201
RALEIGH, NC 27609
Wake County (919) 256-1511
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Hematology & Oncology)
3404 WAKE FOREST RD, SUITE 100
RALEIGH, NC 27609
Wake County (919) 954-3050
PRIVATE DIAGNOSTIC CLINIC, PLLC
Surgery (Surgical Oncology)
3404 WAKE FOREST RD, SUITE 101
RALEIGH, NC 27609
Wake County (919) 954-3050
PRIVATE DIAGNOSTIC CLINIC, PLLC
Urology
3404 WAKE FOREST RD, SUITE 302
RALEIGH, NC 27609
Wake County (919) 684-8111

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 Michael Spiritos's NPI number?

The NPI number for Michael Spiritos is 1093744880. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Michael Spiritos located?

Michael Spiritos practices at 3404 Wake Forest Rd Suite 202, Raleigh, NC 27609. The listed phone number is (919) 954-3050.

What is Michael Spiritos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Michael Spiritos enrolled in Medicare?

Yes. Michael Spiritos 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 Michael Spiritos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Spiritos reassigns Medicare benefits to 2 organizations: Duke Health Integrated Practice, Inc (Raleigh, NC) and Outerbanks Professional Services LLC (Manteo, NC). 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 Michael Spiritos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Spiritos accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 1 other insurer list Michael Spiritos 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 Michael Spiritos affiliated with any hospitals?

According to CMS data, Michael Spiritos is affiliated with Duke University Hospital, Sentara Albemarle Medical Center, The Outer Banks Hospital, Inc and Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Spiritos was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.