DR. GWYNETH ANNE SPAEDER MD
NPI 1124220090
Pediatrics in Raleigh, NC
About Dr. Gwyneth Anne Spaeder Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GWYNETH ANNE SPAEDER MD (NPI 1124220090) is an individual pediatrics provider in Raleigh, North Carolina, licensed in North Carolina (2014-01880) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 (PECOS)
Dr. Gwyneth Anne Spaeder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gwyneth Spaeder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27614
- Reassigned Medicare billing, North Carolina enrollment
- 1,337 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RALEIGH, NC 27614
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 Gwyneth Spaeder's NPI number?
The NPI number for Gwyneth Spaeder is 1124220090. It was assigned to this individual provider in the NPPES registry on June 4, 2007. The provider is also known as Dr. Gwyneth Anne Susil MD.
Where is Gwyneth Spaeder located?
Gwyneth Spaeder practices at 10831 Forest Pines Dr Ste 100, Raleigh, NC 27614. The listed phone number is (919) 782-5273.
What is Gwyneth Spaeder's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Gwyneth Spaeder enrolled in Medicare?
Yes. Gwyneth Spaeder is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gwyneth Spaeder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gwyneth Spaeder reassigns Medicare benefits to Unc Physicians Network, LLC (Raleigh, NC). The 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 Gwyneth Spaeder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gwyneth Spaeder accept?
Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Gwyneth Spaeder 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.
When was this NPI record last updated?
The NPPES record for Gwyneth Spaeder was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Gwyneth Anne Spaeder, MD · NPI 1124220090
Pediatrics physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since June 4, 2007.
## Identity
- **NPI:** 1124220090 (Entity type: Individual)
- **Enumerated:** June 4, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2014-01880 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 10831 FOREST PINES DR STE 100, Raleigh, NC 27614-8077
- **Phone:** (919) 782-5273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Unc Physicians Network, LLC (NPI 1376841874, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1124220090) · Data from the CMS NPPES public registry.