DR. NATHAN O'NEAL SPELL III MD
NPI 1134152168
Internal Medicine in Asheville, NC

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
123 HENDERSONVILLE RD, ASHEVILLE, NC 28803(828) 771-3500 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nathan O'neal Spell Iii Md NPPES

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

DR. NATHAN O'NEAL SPELL III MD (NPI 1134152168) is an individual internal medicine provider in Asheville, North Carolina, licensed in Georgia (045012) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1991).

NPPES Registry Identity

NPI1134152168
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NATHAN O'NEAL SPELL IIICredential: MD
Location Address123 HENDERSONVILLE RDAsheville, NC 28803-2868
Mailing Address123 Hendersonville RdAsheville, NC 28803-2868 · (828) 771-3500
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1991
Enumeration DateJuly 10, 2006
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
NPI 1134152168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 045012
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
123 HENDERSONVILLE RD, Asheville, NC 28803

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nathan O'neal Spell Iii 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.

PECOS PAC ID8729270855
PECOS Enrollment IDI20231128000960
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 28803 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Family Medicine
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Family Medicine (Sports Medicine)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803

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 Nathan Spell's NPI number?

The NPI number for Nathan Spell is 1134152168. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Nathan Spell located?

Nathan Spell practices at 123 Hendersonville Rd, Asheville, NC 28803. The listed phone number is (828) 771-3500.

What is Nathan Spell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nathan Spell enrolled in Medicare?

Yes. Nathan Spell 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.

What insurance does Nathan Spell accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Nathan Spell 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 Nathan Spell was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.