DR. GWYNETH ANNE SPAEDER MD
NPI 1124220090
Pediatrics in Raleigh, NC

Q: 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.

Q: What is Gwyneth Spaeder's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: 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.

Active since June 04, 2007PECOS Enrolled

10831 FOREST PINES DR STE 100, RALEIGH, NC 27614(919) 782-5273 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2021, Jul 14, 2021 (2 updates tracked since 2021).

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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

NPI1124220090

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. GWYNETH ANNE SPAEDERCredential: MD

Location Address10831 FOREST PINES DR STE 100Raleigh, NC 27614-8077

Mailing Address2000 Perimeter Park Dr Ste 200Morrisville, NC 27560-8442

Phone(919) 782-5273

Sole ProprietorNo

Enumeration DateJune 4, 2007

Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration

NPPES CertifiedAugust 10, 2021

✔ NPI 1124220090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NC · 2014-01880✔ Licensed in MD · 20400

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

10831 FOREST PINES DR STE 100, Raleigh, NC 27614

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Other Names 1

Former Name (1)Dr. Gwyneth Anne Susil Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gwyneth Anne Spaeder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

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.

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.

MRS. LAURA CRAVEN CPNP-PC

Nurse Practitioner (Pediatrics)

10831 FOREST PINES DR STE 100
RALEIGH, NC 27614

Wake County (919) 782-5273

MARY KOZUCH PNP

Nurse Practitioner (Pediatrics)

10831 FOREST PINES DR STE 100
RALEIGH, NC 27614

Wake County (919) 782-5273

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.

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.